MEDICARE: MONICA M MILIAN FLORES RBT-23-292488

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106S00000X	Behavior Technician	RBT-23-292488	FL

General Provider Information

NPI Number	:	1083490627
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MONICA M MILIAN FLORES RBT-23-292488

Provider Business Mailing Address
First Line	:	915 W PATTERSON ST
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33604-4719
Country	:	US
Telephone Number	:	813-265-4439
Fax Number	:	813-513-0065

Provider Business Practice Location Address
First Line	:	915 W PATTERSON ST
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33604-4719
Country	:	US
Telephone Number	:	813-265-4439
Fax Number	:	813-513-0065

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/07/2023
Last Update Date	:	12/12/2025

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