Provider Demographics
NPI:1245902378
Name:BANEGA, CLAUDIA BEATRIZ (RBT)
Entity type:Individual
Prefix:
First Name:CLAUDIA
Middle Name:BEATRIZ
Last Name:BANEGA
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 1:18001 SW 148TH AVE RD
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33187-1881
Mailing Address - Country:US
Mailing Address - Phone:786-402-0347
Mailing Address - Fax:
Practice Address - Street 1:18001 SW 148TH AVE RD
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33187-1881
Practice Address - Country:US
Practice Address - Phone:786-402-0347
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-28
Last Update Date:2021-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRBT-20-116067106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician