Healthcare Provider Details

I. General information

NPI: 1194536730
Provider Name (Legal Business Name): CLAUDIA LLANA TUR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/14/2025
Last Update Date: 01/14/2025
Certification Date: 01/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21715 SW 120TH AVE
MIAMI FL
33170-2804
US

IV. Provider business mailing address

21715 SW 120TH AVE
MIAMI FL
33170-2804
US

V. Phone/Fax

Practice location:
  • Phone: 786-280-2372
  • Fax:
Mailing address:
  • Phone: 786-280-2372
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-25-403897
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: