Provider Demographics
NPI:1760084750
Name:VARGAS, NILTON JR (RBT, CPR)
Entity Type:Individual
Prefix:MR
First Name:NILTON
Middle Name:
Last Name:VARGAS
Suffix:JR
Gender:M
Credentials:RBT, CPR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3317 CASCABEL TER
Mailing Address - Street 2:
Mailing Address - City:NORTH PORT
Mailing Address - State:FL
Mailing Address - Zip Code:34286-7549
Mailing Address - Country:US
Mailing Address - Phone:941-268-9027
Mailing Address - Fax:
Practice Address - Street 1:3317 CASCABEL TER
Practice Address - Street 2:
Practice Address - City:NORTH PORT
Practice Address - State:FL
Practice Address - Zip Code:34286-7549
Practice Address - Country:US
Practice Address - Phone:941-268-9027
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-13
Last Update Date:2020-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRBT-20-144106106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician