Provider Demographics
NPI:1124860218
Name:SCHERY TEYRA, D'RIAN LAZARO (RBT-24-349901)
Entity type:Individual
Prefix:
First Name:D'RIAN
Middle Name:LAZARO
Last Name:SCHERY TEYRA
Suffix:
Gender:M
Credentials:RBT-24-349901
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:610 NW 23RD PL
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33125-4432
Mailing Address - Country:US
Mailing Address - Phone:786-620-3418
Mailing Address - Fax:
Practice Address - Street 1:2500 NW 79TH AVE STE 295
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33122-1090
Practice Address - Country:US
Practice Address - Phone:786-637-5168
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-10
Last Update Date:2024-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRBT-24-349901106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician