Provider Demographics
NPI:1205635331
Name:FIGUEREDO, ISET A
Entity type:Individual
Prefix:
First Name:ISET
Middle Name:A
Last Name:FIGUEREDO
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:206 TRINIDAD RD
Mailing Address - Street 2:
Mailing Address - City:TAVERNIER
Mailing Address - State:FL
Mailing Address - Zip Code:33070-2952
Mailing Address - Country:US
Mailing Address - Phone:786-521-7185
Mailing Address - Fax:
Practice Address - Street 1:206 TRINIDAD RD
Practice Address - Street 2:
Practice Address - City:TAVERNIER
Practice Address - State:FL
Practice Address - Zip Code:33070-2952
Practice Address - Country:US
Practice Address - Phone:786-521-7185
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-11
Last Update Date:2025-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRBT-20-124199106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician