Provider Demographics
NPI:1013469121
Name:RAVELO, ROSEMARY JEAN (RBT)
Entity Type:Individual
Prefix:
First Name:ROSEMARY
Middle Name:JEAN
Last Name:RAVELO
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 1:5500 MURRELL RD
Mailing Address - Street 2:FLORIDA AUTISM CENTER SUITE 100
Mailing Address - City:MELBOURNE
Mailing Address - State:FL
Mailing Address - Zip Code:32940-6700
Mailing Address - Country:US
Mailing Address - Phone:407-221-1038
Mailing Address - Fax:
Practice Address - Street 1:5500 MURRELL RD
Practice Address - Street 2:FLORIDA AUTISM CENTER SUITE 100
Practice Address - City:MELBOURNE
Practice Address - State:FL
Practice Address - Zip Code:32940-6700
Practice Address - Country:US
Practice Address - Phone:407-221-1038
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-10-25
Last Update Date:2017-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other