Provider Demographics
NPI:1487480190
Name:GARZON RODRIGUEZ, CLAUDIA LILIANA (RBT)
Entity type:Individual
Prefix:
First Name:CLAUDIA
Middle Name:LILIANA
Last Name:GARZON RODRIGUEZ
Suffix:
Gender:F
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14236 SW 52ND ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33175-5829
Mailing Address - Country:US
Mailing Address - Phone:786-205-3847
Mailing Address - Fax:
Practice Address - Street 1:14236 SW 52ND ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33175-5829
Practice Address - Country:US
Practice Address - Phone:786-205-3847
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-10
Last Update Date:2024-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRBT-24-376436106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician