Provider Demographics
NPI:1275217929
Name:ESQUIJAROSA, RAINER MICHEL (RBT)
Entity Type:Individual
Prefix:
First Name:RAINER
Middle Name:MICHEL
Last Name:ESQUIJAROSA
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 1:7332 SW 163RD CT
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33193-5154
Mailing Address - Country:US
Mailing Address - Phone:786-662-9842
Mailing Address - Fax:
Practice Address - Street 1:7332 SW 163RD CT
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33193-5154
Practice Address - Country:US
Practice Address - Phone:786-662-9842
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-13
Last Update Date:2023-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRBT23277001106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician