Provider Demographics
NPI:1023847407
Name:ARMAS ROSABAL, EDYANIS M (RBT-23-272179)
Entity type:Individual
Prefix:
First Name:EDYANIS
Middle Name:M
Last Name:ARMAS ROSABAL
Suffix:
Gender:F
Credentials:RBT-23-272179
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:604 RICHMOND AVE N
Mailing Address - Street 2:
Mailing Address - City:LEHIGH ACRES
Mailing Address - State:FL
Mailing Address - Zip Code:33972-3921
Mailing Address - Country:US
Mailing Address - Phone:239-223-3987
Mailing Address - Fax:
Practice Address - Street 1:604 RICHMOND AVE N
Practice Address - Street 2:
Practice Address - City:LEHIGH ACRES
Practice Address - State:FL
Practice Address - Zip Code:33972-3921
Practice Address - Country:US
Practice Address - Phone:239-223-3987
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-01
Last Update Date:2024-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRBT-23-272179106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician