Provider Demographics
NPI:1164957411
Name:ALMEIDA PARDO, GIRALDO J SR (RBT)
Entity Type:Individual
Prefix:MR
First Name:GIRALDO
Middle Name:J
Last Name:ALMEIDA PARDO
Suffix:SR
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 1:8851 NW 119TH ST UNIT 5103
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33018-7915
Mailing Address - Country:US
Mailing Address - Phone:786-792-7318
Mailing Address - Fax:
Practice Address - Street 1:8851 NW 119TH ST UNIT 5103
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33018-7915
Practice Address - Country:US
Practice Address - Phone:786-792-7318
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-25
Last Update Date:2018-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO18-60730106S00000X
FL17-213246ZC0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician
No246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Assistant