MEDICARE: ALEJANDRO LEY JR. RBT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106S00000X	Behavior Technician	RBT-25-478380	FL

General Provider Information

NPI Number	:	1073487922
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEJANDRO LEY JR. RBT

Provider Business Mailing Address
First Line	:	13135 SW 15TH LN
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33184-2005
Country	:	US
Telephone Number	:	786-982-1250
Fax Number	:

Provider Business Practice Location Address
First Line	:	3150 PONCE DE LEON BLVD
Second Line	:
City	:	CORAL GABLES
State	:	FL
Zip	:	33134-6826
Country	:	US
Telephone Number	:	786-982-1250
Fax Number	:	305-441-1841

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/02/2025
Last Update Date	:	10/02/2025

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