Healthcare Provider Details

I. General information

NPI: 1093648636
Provider Name (Legal Business Name): FABIOLA LAMY JOSEPH RBT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/04/2026
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7801 NW 37TH ST STE LP-201
DORAL FL
33195-6503
US

IV. Provider business mailing address

8343 NE 3RD CT
MIAMI FL
33138-3909
US

V. Phone/Fax

Practice location:
  • Phone: 305-468-9899
  • Fax: 305-228-4993
Mailing address:
  • Phone: 305-468-9899
  • Fax: 305-228-4993

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License NumberBACB1458523
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberBACB1458523
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: