Healthcare Provider Details

I. General information

NPI: 1043130222
Provider Name (Legal Business Name): LISBEY MONTANEZ LAFITA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/17/2026
Last Update Date: 07/17/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18615 105TH RD
MC ALPIN FL
32062-2524
US

IV. Provider business mailing address

18615 105TH RD
MC ALPIN FL
32062-2524
US

V. Phone/Fax

Practice location:
  • Phone: 786-459-0397
  • Fax:
Mailing address:
  • Phone: 786-459-0397
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-25-483112
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: