Provider Demographics
NPI:1760008700
Name:RODRIGUEZ ACAS, LILIA
Entity Type:Individual
Prefix:
First Name:LILIA
Middle Name:
Last Name:RODRIGUEZ ACAS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:LILIA
Other - Middle Name:
Other - Last Name:RODRIGUEZ
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:10491 SW 216TH ST APT 204
Mailing Address - Street 2:
Mailing Address - City:CUTLER BAY
Mailing Address - State:FL
Mailing Address - Zip Code:33190-1606
Mailing Address - Country:US
Mailing Address - Phone:786-260-4388
Mailing Address - Fax:
Practice Address - Street 1:10491 SW 216TH ST APT 204
Practice Address - Street 2:
Practice Address - City:CUTLER BAY
Practice Address - State:FL
Practice Address - Zip Code:33190-1606
Practice Address - Country:US
Practice Address - Phone:786-260-4388
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-24
Last Update Date:2023-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL122360106S00000X
103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician