Provider Demographics
NPI:1669257101
Name:ALVAREZ LEYVA, LETICIA (RBT-23-274286)
Entity type:Individual
Prefix:
First Name:LETICIA
Middle Name:
Last Name:ALVAREZ LEYVA
Suffix:
Gender:F
Credentials:RBT-23-274286
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7434 SW 146TH CT
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33183-2933
Mailing Address - Country:US
Mailing Address - Phone:305-798-0437
Mailing Address - Fax:
Practice Address - Street 1:7434 SW 146TH CT
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33183-2933
Practice Address - Country:US
Practice Address - Phone:305-798-0437
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-30
Last Update Date:2023-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRBT-23-274286106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician