Healthcare Provider Details

I. General information

NPI: 1487320982
Provider Name (Legal Business Name): LIANE M VALLE ROJAS RBT-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/17/2021
Last Update Date: 03/13/2026
Certification Date: 03/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6150 SW 130TH AVE APT 1510
MIAMI FL
33183-5394
US

IV. Provider business mailing address

6150 SW 130TH AVE APT 1510
MIAMI FL
33183-5394
US

V. Phone/Fax

Practice location:
  • Phone: 786-253-0705
  • Fax:
Mailing address:
  • Phone: 786-253-0705
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106E00000X
TaxonomyAssistant Behavior Analyst
License Number0-25-16284
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT21178568
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: