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NPI 1184599268

NPI 1184599268 : SANDRA MILENA LOZANO RBT : CUTLER BAY, FL

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General NPI Number Information
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    NPI Number           |    1184599268
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    Entity Type          |    Individual 
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    Provider Name        |    SANDRA MILENA LOZANO RBT
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    10/08/2025
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    Last Update Date     |    10/08/2025
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Provider Practice Location Address
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    Address Line         |    18951 SW 106TH AVE STE 105-106 
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    City                 |    CUTLER BAY
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    State                |    FL
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    Zip                  |    33157-7668
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    Country              |    US
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    Telephone            |    305-223-4448
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    18432 SW 89TH PL 
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    City                 |    CUTLER BAY
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    State                |    FL
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    Zip                  |    33157-7163
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    Country              |    US
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    Telephone            |    786-659-5692
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    106S00000X
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    Taxonomy Name        |    Behavior Technician
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    License Number       |    BACB1116352
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    License Number State |    FL
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