Provider Demographics
NPI:1154854818
Name:HOYOS, ONORAIDIS (RBT)
Entity Type:Individual
Prefix:
First Name:ONORAIDIS
Middle Name:
Last Name:HOYOS
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 1:2225 W 60TH ST APT 108
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33016-4415
Mailing Address - Country:US
Mailing Address - Phone:786-252-7986
Mailing Address - Fax:
Practice Address - Street 1:2225 W 60TH ST APT 108
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33016-4415
Practice Address - Country:US
Practice Address - Phone:786-252-7986
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-09
Last Update Date:2018-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RBT-18-65375106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician
Provider Identifiers
StateIdentifier IDID TypeIssuer
RBT-18-65375OtherBEHAVIOR ANALYST CERTIFICATION BOARD
FL020608500Medicaid