Provider Demographics
NPI:1023901790
Name:BELVAL, FRITZ CARL (RBT)
Entity type:Individual
Prefix:
First Name:FRITZ
Middle Name:CARL
Last Name:BELVAL
Suffix:
Gender:M
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3710 NW 88TH APT 125
Mailing Address - Street 2:
Mailing Address - City:SUNRISE, FL
Mailing Address - State:FL
Mailing Address - Zip Code:33351
Mailing Address - Country:US
Mailing Address - Phone:954-548-8513
Mailing Address - Fax:954-548-8513
Practice Address - Street 1:3710 NW 88TH APT 125
Practice Address - Street 2:
Practice Address - City:SUNRISE, FL
Practice Address - State:FL
Practice Address - Zip Code:33351
Practice Address - Country:US
Practice Address - Phone:954-548-8513
Practice Address - Fax:954-548-8513
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-02
Last Update Date:2025-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1257876106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician