Provider Demographics
NPI:1184599268
Name:LOZANO, SANDRA MILENA (RBT)
Entity type:Individual
Prefix:
First Name:SANDRA
Middle Name:MILENA
Last Name:LOZANO
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 1:18432 SW 89TH PL
Mailing Address - Street 2:
Mailing Address - City:CUTLER BAY
Mailing Address - State:FL
Mailing Address - Zip Code:33157-7163
Mailing Address - Country:US
Mailing Address - Phone:786-659-5692
Mailing Address - Fax:
Practice Address - Street 1:18951 SW 106TH AVE STE 105-106
Practice Address - Street 2:
Practice Address - City:CUTLER BAY
Practice Address - State:FL
Practice Address - Zip Code:33157-7668
Practice Address - Country:US
Practice Address - Phone:305-223-4448
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-10-08
Last Update Date:2025-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLBACB1116352106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician