Provider Demographics
NPI:1588430110
Name:MONTES DE OCA, AGUSTINA BELEN (RBT)
Entity type:Individual
Prefix:MRS
First Name:AGUSTINA
Middle Name:BELEN
Last Name:MONTES DE OCA
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 1:12123 NE 5TH AVE
Mailing Address - Street 2:
Mailing Address - City:NORTH MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33161-6289
Mailing Address - Country:US
Mailing Address - Phone:305-753-3782
Mailing Address - Fax:
Practice Address - Street 1:12123 NE 5TH AVE
Practice Address - Street 2:
Practice Address - City:NORTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33161-6289
Practice Address - Country:US
Practice Address - Phone:305-753-3782
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-27
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRBT-23-310440106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician