Healthcare Provider Details

I. General information

NPI: 1063208460
Provider Name (Legal Business Name): ARIELLA ESCOBAR ROIG
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/15/2025
Last Update Date: 04/15/2025
Certification Date: 04/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15251 HARRISON DR
HOMESTEAD FL
33033-2615
US

IV. Provider business mailing address

15251 HARRISON DR
HOMESTEAD FL
33033-2615
US

V. Phone/Fax

Practice location:
  • Phone: 786-728-1748
  • Fax:
Mailing address:
  • Phone: 786-728-1748
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-20-126114
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: