Provider Demographics
NPI:1447608054
Name:POZO, MARIA (RBT 1502898)
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:
Last Name:POZO
Suffix:
Gender:F
Credentials:RBT 1502898
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19800 SW 180TH AVE # LOTE290
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33187-2619
Mailing Address - Country:US
Mailing Address - Phone:786-660-2053
Mailing Address - Fax:
Practice Address - Street 1:19800 SW 180TH AVE # LOTE290
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33187-2619
Practice Address - Country:US
Practice Address - Phone:786-660-2053
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-25
Last Update Date:2019-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLRBT 1502898OtherBACB