Provider Demographics
NPI:1255139150
Name:VAZQUEZ ALONSO, IVONNE (RBT)
Entity type:Individual
Prefix:
First Name:IVONNE
Middle Name:
Last Name:VAZQUEZ ALONSO
Suffix:
Gender:
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20368 SW 87TH PL
Mailing Address - Street 2:
Mailing Address - City:CUTLER BAY
Mailing Address - State:FL
Mailing Address - Zip Code:33189-7393
Mailing Address - Country:US
Mailing Address - Phone:561-643-9926
Mailing Address - Fax:
Practice Address - Street 1:20368 SW 87TH PL
Practice Address - Street 2:
Practice Address - City:CUTLER BAY
Practice Address - State:FL
Practice Address - Zip Code:33189-7393
Practice Address - Country:US
Practice Address - Phone:561-643-9926
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-05
Last Update Date:2025-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRBT-25-407180106S00000X
RBT-25-407180106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician