Provider Demographics
NPI:1528931219
Name:RODRIGUEZ FALCON, SABRINA
Entity type:Individual
Prefix:
First Name:SABRINA
Middle Name:
Last Name:RODRIGUEZ FALCON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13058 SW 88TH LN # 101A
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33186-1629
Mailing Address - Country:US
Mailing Address - Phone:645-200-7588
Mailing Address - Fax:
Practice Address - Street 1:13058 SW 88TH LN # 101A
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33186-1629
Practice Address - Country:US
Practice Address - Phone:645-200-7588
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-29
Last Update Date:2025-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRBT-25-476309106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior TechnicianGroup - Single Specialty