Provider Demographics
NPI:1588333462
Name:ARAGON, LIONYS C
Entity type:Individual
Prefix:
First Name:LIONYS
Middle Name:C
Last Name:ARAGON
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12448 NW 11TH LN APT 2009
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33182-2463
Mailing Address - Country:US
Mailing Address - Phone:786-223-4293
Mailing Address - Fax:
Practice Address - Street 1:12448 NW 11TH LN APT 2009
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33182-2463
Practice Address - Country:US
Practice Address - Phone:786-223-4293
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-13
Last Update Date:2021-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRBT-21-181558106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician