Provider Demographics
NPI:1952186785
Name:RUBIO ALVAREZ, SHEILA (RBT-23-294156)
Entity Type:Individual
Prefix:
First Name:SHEILA
Middle Name:
Last Name:RUBIO ALVAREZ
Suffix:
Gender:F
Credentials:RBT-23-294156
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14996 SW 283RD ST APT 205
Mailing Address - Street 2:
Mailing Address - City:HOMESTEAD
Mailing Address - State:FL
Mailing Address - Zip Code:33033-1154
Mailing Address - Country:US
Mailing Address - Phone:321-375-7272
Mailing Address - Fax:
Practice Address - Street 1:14996 SW 283RD ST APT 205
Practice Address - Street 2:
Practice Address - City:HOMESTEAD
Practice Address - State:FL
Practice Address - Zip Code:33033-1154
Practice Address - Country:US
Practice Address - Phone:321-375-7272
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-29
Last Update Date:2023-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRBT-23-294156106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician