Provider Demographics
NPI:1568244952
Name:ESCOBAR ROJAS, TAHIMI
Entity Type:Individual
Prefix:
First Name:TAHIMI
Middle Name:
Last Name:ESCOBAR ROJAS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7160 NW 179TH ST APT 201
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33015-7414
Mailing Address - Country:US
Mailing Address - Phone:561-445-8047
Mailing Address - Fax:
Practice Address - Street 1:7160 NW 179 ST
Practice Address - Street 2:201
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33015-7414
Practice Address - Country:US
Practice Address - Phone:561-445-8047
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-19
Last Update Date:2023-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician