Provider Demographics
NPI:1982258992
Name:MUNIZ, DEBRA (RBT)
Entity Type:Individual
Prefix:
First Name:DEBRA
Middle Name:
Last Name:MUNIZ
Suffix:
Gender:F
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7909 VENTURE CENTER WAY APT 9212
Mailing Address - Street 2:
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33437-7412
Mailing Address - Country:US
Mailing Address - Phone:561-271-5010
Mailing Address - Fax:
Practice Address - Street 1:7909 VENTURE CENTER WAY APT 9212
Practice Address - Street 2:
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33437-7412
Practice Address - Country:US
Practice Address - Phone:561-271-5010
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-07-29
Last Update Date:2019-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRBT19-91372106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician