Healthcare Provider Details

I. General information

NPI: 1396384541
Provider Name (Legal Business Name): LETICIA LLAMA FIGUEREDO RBT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/04/2020
Last Update Date: 04/24/2023
Certification Date: 04/23/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2930 NW 32ND ST APT 4
MIAMI FL
33142-5869
US

IV. Provider business mailing address

2930 NW 32ND ST APT 4
MIAMI FL
33142-5869
US

V. Phone/Fax

Practice location:
  • Phone: 361-730-9042
  • Fax:
Mailing address:
  • Phone: 361-730-9042
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-23-65214
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-19-99618
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: