Provider Demographics
NPI:1366039737
Name:ORO MORALES, RICARDO ROMAN (RBT)
Entity Type:Individual
Prefix:
First Name:RICARDO
Middle Name:ROMAN
Last Name:ORO MORALES
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 1:150 SE 25TH RD APT 4L
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33129-2403
Mailing Address - Country:US
Mailing Address - Phone:786-602-0094
Mailing Address - Fax:
Practice Address - Street 1:150 SE 25TH RD APT 4L
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33129-2403
Practice Address - Country:US
Practice Address - Phone:786-602-0094
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-30
Last Update Date:2020-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician