Provider Demographics
NPI:1114410941
Name:TOLEDO GARCIA, ABEL (RBT)
Entity Type:Individual
Prefix:MR
First Name:ABEL
Middle Name:
Last Name:TOLEDO GARCIA
Suffix:
Gender:M
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3600 SW 114TH AVE APT 105
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33165-3351
Mailing Address - Country:US
Mailing Address - Phone:786-307-3061
Mailing Address - Fax:
Practice Address - Street 1:3600 SW 114TH AVE APT 105
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33165-3351
Practice Address - Country:US
Practice Address - Phone:786-307-3061
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-06-06
Last Update Date:2018-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL18-2677-86303106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL023440600Medicaid