Healthcare Provider Details

I. General information

NPI: 1992624449
Provider Name (Legal Business Name): ALAIN RABUFETTI MOREJON
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/10/2026
Last Update Date: 07/10/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18951 SW 106TH AVE
CUTLER BAY FL
33157-7668
US

IV. Provider business mailing address

904 NW 31ST AVE
MIAMI FL
33125-3928
US

V. Phone/Fax

Practice location:
  • Phone: 786-380-3419
  • Fax:
Mailing address:
  • Phone: 305-200-9149
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-26-90165
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: