Provider Demographics
NPI:1912541269
Name:BRITO TOLEDO, ARLETY MAYELIN
Entity Type:Individual
Prefix:
First Name:ARLETY
Middle Name:MAYELIN
Last Name:BRITO TOLEDO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17310 SW 121ST AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33177-2220
Mailing Address - Country:US
Mailing Address - Phone:786-630-3458
Mailing Address - Fax:
Practice Address - Street 1:3850 SW 87TH AVE STE 207
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33165-5474
Practice Address - Country:US
Practice Address - Phone:305-220-3382
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-30
Last Update Date:2020-02-26
Deactivation Date:2019-10-30
Deactivation Code:
Reactivation Date:2020-02-26
Provider Licenses
StateLicense IDTaxonomies
FLRBT-19-97762106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician