Provider Demographics
NPI:1255833877
Name:JUSTE, ALFRED
Entity type:Individual
Prefix:
First Name:ALFRED
Middle Name:
Last Name:JUSTE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2010 SE 14TH CT
Mailing Address - Street 2:
Mailing Address - City:HOMESTEAD
Mailing Address - State:FL
Mailing Address - Zip Code:33035-2600
Mailing Address - Country:US
Mailing Address - Phone:305-508-0013
Mailing Address - Fax:
Practice Address - Street 1:2010 SE 14TH CT
Practice Address - Street 2:
Practice Address - City:HOMESTEAD
Practice Address - State:FL
Practice Address - Zip Code:33035-2600
Practice Address - Country:US
Practice Address - Phone:305-508-0013
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-02-28
Last Update Date:2018-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician