=====================================================
General NPI Number Information
=====================================================
NPI Number | 1902676000
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | VALIA GIRALDINO OJEDA RBT
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/09/2024
-----------------------------------------------------
Last Update Date | 01/30/2024
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 8640 NW 188TH TER APT 3402
-----------------------------------------------------
City | MIAMI GARDENS
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33015-7214
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 786-597-2267
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 8640 NW 188TH TER APT 3402
-----------------------------------------------------
City | MIAMI GARDENS
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33015-7214
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 786-597-2267
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
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 | 23-298246
-----------------------------------------------------
License Number State | FL
-----------------------------------------------------