Healthcare Provider Details

I. General information

NPI: 1528768371
Provider Name (Legal Business Name): MAGGIE ZAPATA SARMIENTO RBT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/08/2023
Last Update Date: 04/18/2023
Certification Date: 04/18/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26125 SW 138TH AVE APT 208
HOMESTEAD FL
33032-6786
US

IV. Provider business mailing address

26125 SW 138TH AVE APT 208
HOMESTEAD FL
33032-6786
US

V. Phone/Fax

Practice location:
  • Phone: 407-969-8789
  • Fax:
Mailing address:
  • Phone: 407-969-8789
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-23-259950
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: