Provider Demographics
NPI:1669283651
Name:LESCANO, VICTOR (RBT)
Entity type:Individual
Prefix:
First Name:VICTOR
Middle Name:
Last Name:LESCANO
Suffix:
Gender:M
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12838 NEW YORK WOODS CIR
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32824-7530
Mailing Address - Country:US
Mailing Address - Phone:407-694-3182
Mailing Address - Fax:
Practice Address - Street 1:1603 S HIAWASSEE RD STE 110
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32835-6437
Practice Address - Country:US
Practice Address - Phone:516-754-0348
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-17
Last Update Date:2025-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRBT-25-404198106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician