Provider Demographics
NPI:1568029445
Name:RODRIGUEZ TESCARI, MARBELLA (BCBA-1-21-50884)
Entity Type:Individual
Prefix:MS
First Name:MARBELLA
Middle Name:
Last Name:RODRIGUEZ TESCARI
Suffix:
Gender:F
Credentials:BCBA-1-21-50884
Other - Prefix:MS
Other - First Name:MARBELLA
Other - Middle Name:
Other - Last Name:RODRIGUEZ TESCARI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:BCBA-1-21-50884
Mailing Address - Street 1:605 IVES DAIRY RD APT 303
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33179-5440
Mailing Address - Country:US
Mailing Address - Phone:786-843-7524
Mailing Address - Fax:
Practice Address - Street 1:605 IVES DAIRY RD APT 303
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33179-5440
Practice Address - Country:US
Practice Address - Phone:786-843-7524
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-05-25
Last Update Date:2024-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLBCBA-1-21-50884103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL102988400Medicaid