Provider Demographics
NPI:1952177826
Name:PADRON MILLARES, ARLENYS
Entity Type:Individual
Prefix:
First Name:ARLENYS
Middle Name:
Last Name:PADRON MILLARES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2510 W 56TH ST APT 2114
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33016-4763
Mailing Address - Country:US
Mailing Address - Phone:786-707-9009
Mailing Address - Fax:
Practice Address - Street 1:2510 W 56TH ST APT 2114
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33016-4763
Practice Address - Country:US
Practice Address - Phone:786-707-9009
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-30
Last Update Date:2023-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRBT23311483106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician