Provider Demographics
NPI:1518426196
Name:SAUNDERS, RONALD SELBERT (RBT)
Entity Type:Individual
Prefix:
First Name:RONALD
Middle Name:SELBERT
Last Name:SAUNDERS
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 1:6207 RIVERWALK LN UNIT 5
Mailing Address - Street 2:
Mailing Address - City:JUPITER
Mailing Address - State:FL
Mailing Address - Zip Code:33458-4603
Mailing Address - Country:US
Mailing Address - Phone:561-344-2195
Mailing Address - Fax:
Practice Address - Street 1:6207 RIVERWALK LN UNIT 5
Practice Address - Street 2:
Practice Address - City:JUPITER
Practice Address - State:FL
Practice Address - Zip Code:33458-4603
Practice Address - Country:US
Practice Address - Phone:561-344-2195
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-03-13
Last Update Date:2019-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374700000XNursing Service Related ProvidersTechnicianGroup - Single Specialty