Provider Demographics
NPI:1962209379
Name:ALVAREZ, YORDAN (RBT)
Entity type:Individual
Prefix:
First Name:YORDAN
Middle Name:
Last Name:ALVAREZ
Suffix:
Gender:
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:103200 OVERSEAS HWY STE 6
Mailing Address - Street 2:
Mailing Address - City:KEY LARGO
Mailing Address - State:FL
Mailing Address - Zip Code:33037-2827
Mailing Address - Country:US
Mailing Address - Phone:305-413-0933
Mailing Address - Fax:
Practice Address - Street 1:103200 OVERSEAS HWY STE 5
Practice Address - Street 2:
Practice Address - City:KEY LARGO
Practice Address - State:FL
Practice Address - Zip Code:33037-2827
Practice Address - Country:US
Practice Address - Phone:305-413-0933
Practice Address - Fax:305-356-8738
Is Sole Proprietor?:No
Enumeration Date:2025-02-25
Last Update Date:2025-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
106S00000X
FLRBT-22-227855106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician