Provider Demographics
NPI:1437427465
Name:ALVAREZ OSPINO, ELVIN (BCBA)
Entity Type:Individual
Prefix:
First Name:ELVIN
Middle Name:
Last Name:ALVAREZ OSPINO
Suffix:
Gender:M
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5201 NW 7TH ST
Mailing Address - Street 2:APT 406W
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33126-3341
Mailing Address - Country:US
Mailing Address - Phone:786-715-6718
Mailing Address - Fax:
Practice Address - Street 1:5201 NW 7TH ST
Practice Address - Street 2:APT 406W
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33126-3341
Practice Address - Country:US
Practice Address - Phone:786-715-6718
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-05
Last Update Date:2017-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLA416-200-85-101-0222Q00000X
103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist