MEDICARE: DARIEL TRUJILLO RBT

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-25-439471	FL

General Provider Information

NPI Number	:	1396639357
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DARIEL TRUJILLO RBT

Provider Business Mailing Address
First Line	:	730 ARNOLD DR
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33415-3912
Country	:	US
Telephone Number	:	786-689-9330
Fax Number	:

Provider Business Practice Location Address
First Line	:	730 ARNOLD DR
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33415-3912
Country	:	US
Telephone Number	:	786-689-9330
Fax Number	:

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

Provider Enumeration Date	:	06/04/2025
Last Update Date	:	06/04/2025

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