Provider Demographics
NPI:1073365425
Name:LABOY MUNIZ, ARGELIS
Entity Type:Individual
Prefix:MS
First Name:ARGELIS
Middle Name:
Last Name:LABOY MUNIZ
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 1:3501 N RIVER RD APT 206G
Mailing Address - Street 2:
Mailing Address - City:FORT GRATIOT
Mailing Address - State:MI
Mailing Address - Zip Code:48059-4180
Mailing Address - Country:US
Mailing Address - Phone:939-325-0785
Mailing Address - Fax:
Practice Address - Street 1:3501 N RIVER RD APT 206G
Practice Address - Street 2:
Practice Address - City:FORT GRATIOT
Practice Address - State:MI
Practice Address - Zip Code:48059-4180
Practice Address - Country:US
Practice Address - Phone:939-325-0785
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-01
Last Update Date:2024-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIBACB989944106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician