Provider Demographics
NPI:1598369829
Name:LOLI, GULIANA
Entity Type:Individual
Prefix:
First Name:GULIANA
Middle Name:
Last Name:LOLI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:GULIANA
Other - Middle Name:
Other - Last Name:CABRERA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:17016 SW 95TH TER
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33196-4758
Mailing Address - Country:US
Mailing Address - Phone:786-542-7528
Mailing Address - Fax:
Practice Address - Street 1:17016 SW 95TH TER
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33196-4758
Practice Address - Country:US
Practice Address - Phone:786-542-7528
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-27
Last Update Date:2023-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRBT-20-140646106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician