=====================================================
General NPI Number Information
=====================================================
NPI Number | 1588456180
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | ALBERTO A ROJAS
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/20/2025
-----------------------------------------------------
Last Update Date | 05/20/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1626 RIO COVE CT
-----------------------------------------------------
City | ORLANDO
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 32825-8315
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 407-431-0520
-----------------------------------------------------
Fax | 689-263-7771
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 10749 MYSTIC CIR
-----------------------------------------------------
City | ORLANDO
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 32836-6649
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 786-266-7932
-----------------------------------------------------
Fax | 689-263-7771
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 106S00000X
-----------------------------------------------------
Taxonomy Name | Behavior Technician
-----------------------------------------------------
License Number | RBT-25-426907
-----------------------------------------------------
License Number State | FL
-----------------------------------------------------