MEDICARE: JOCELYN LORENA ALONSO

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-24-386-117	FL

General Provider Information

NPI Number	:	1306632518
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOCELYN LORENA ALONSO

Provider Business Mailing Address
First Line	:	8538 SW 156TH CT
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33193-1215
Country	:	US
Telephone Number	:	786-327-8164
Fax Number	:

Provider Business Practice Location Address
First Line	:	8538 SW 156TH CT
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33193-1215
Country	:	US
Telephone Number	:	786-327-8164
Fax Number	:

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

Provider Enumeration Date	:	04/15/2025
Last Update Date	:	04/15/2025

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Directions to “ JOCELYN LORENA ALONSO ” Practice Location

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