Provider Demographics
NPI:1609769470
Name:OVIES VAZQUEZ, DARIAN (RBT)
Entity type:Individual
Prefix:
First Name:DARIAN
Middle Name:
Last Name:OVIES VAZQUEZ
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 1:20423 NW 19TH AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33056-5043
Mailing Address - Country:US
Mailing Address - Phone:305-804-9859
Mailing Address - Fax:305-804-9859
Practice Address - Street 1:20423 NW 19TH AVE
Practice Address - Street 2:
Practice Address - City:MIAMI GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33056-5043
Practice Address - Country:US
Practice Address - Phone:305-804-9859
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-31
Last Update Date:2025-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRBT-25-440522106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior TechnicianGroup - Single Specialty