Provider Demographics
NPI:1053829697
Name:MAYOR, JOSE (RBT)
Entity Type:Individual
Prefix:
First Name:JOSE
Middle Name:
Last Name:MAYOR
Suffix:
Gender:M
Credentials:RBT
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:8150 SW 8TH STREET
Mailing Address - Street 2:SUITE 201
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33144
Mailing Address - Country:US
Mailing Address - Phone:786-703-9112
Mailing Address - Fax:786-703-9115
Practice Address - Street 1:8150 SW 8TH STREET
Practice Address - Street 2:SUITE 201
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33144
Practice Address - Country:US
Practice Address - Phone:786-703-9112
Practice Address - Fax:786-703-9115
Is Sole Proprietor?:Yes
Enumeration Date:2018-01-17
Last Update Date:2018-01-17
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician