Healthcare Provider Details

I. General information

NPI: 1619788916
Provider Name (Legal Business Name): LIZ ARLET RODRIGUEZ FERNANDEZ RBT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/15/2025
Last Update Date: 01/15/2025
Certification Date: 01/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

384 53RD DR N APT 2
WEST PALM BEACH FL
33415-1700
US

IV. Provider business mailing address

384 53RD DR N APT 2
WEST PALM BEACH FL
33415-1700
US

V. Phone/Fax

Practice location:
  • Phone: 566-123-6970
  • Fax:
Mailing address:
  • Phone: 566-123-6970
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number24-396822
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: