Provider Demographics
NPI:1952184566
Name:BATARD LORENZO, MONICA (RBT-23-286852)
Entity type:Individual
Prefix:
First Name:MONICA
Middle Name:
Last Name:BATARD LORENZO
Suffix:
Gender:F
Credentials:RBT-23-286852
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8309 SW 142ND AVE APT H103
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33183-4060
Mailing Address - Country:US
Mailing Address - Phone:786-739-0626
Mailing Address - Fax:
Practice Address - Street 1:13701 SW 88TH ST STE 307
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33186-1309
Practice Address - Country:US
Practice Address - Phone:786-536-7213
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-16
Last Update Date:2023-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRBT-23-286852103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst