Provider Demographics
NPI:1629751664
Name:DUMPIERRES OTERO, BEATRIZ (RBT)
Entity Type:Individual
Prefix:
First Name:BEATRIZ
Middle Name:
Last Name:DUMPIERRES OTERO
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 1:5800 TOWN BAY DR APT 418
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33486-8754
Mailing Address - Country:US
Mailing Address - Phone:561-344-6366
Mailing Address - Fax:
Practice Address - Street 1:5800 TOWN BAY DR APT 418
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33486-8754
Practice Address - Country:US
Practice Address - Phone:561-344-6366
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-08
Last Update Date:2023-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRBT-23-284457106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician