Healthcare Provider Details

I. General information

NPI: 1649938952
Provider Name (Legal Business Name): RUTH MARIA LORENZO BCBA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/03/2021
Last Update Date: 06/03/2026
Certification Date: 06/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11100 SW 184TH ST
CUTLER BAY FL
33157-6603
US

IV. Provider business mailing address

29250 SW 163RD CT
HOMESTEAD FL
33033-4117
US

V. Phone/Fax

Practice location:
  • Phone: 305-720-0492
  • Fax:
Mailing address:
  • Phone: 305-720-0492
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-26-90348
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-21-194190
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: