Provider Demographics
NPI:1598304743
Name:CAPARELLI, LUIZA (RBT)
Entity Type:Individual
Prefix:MRS
First Name:LUIZA
Middle Name:
Last Name:CAPARELLI
Suffix:
Gender:F
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17145 N BAY RD APT 4309
Mailing Address - Street 2:
Mailing Address - City:SUNNY ISLES BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33160-3453
Mailing Address - Country:US
Mailing Address - Phone:954-607-0930
Mailing Address - Fax:
Practice Address - Street 1:17145 N BAY RD APT 4309
Practice Address - Street 2:
Practice Address - City:SUNNY ISLES BEACH
Practice Address - State:FL
Practice Address - Zip Code:33160-3453
Practice Address - Country:US
Practice Address - Phone:954-607-0930
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-04
Last Update Date:2020-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRBT-19-101651106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician