MEDICARE: EVELYN VALENTI TAMAYO 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

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1699487579
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EVELYN VALENTI TAMAYO RBT

Provider Business Mailing Address
First Line	:	426 SW 27TH AVE APT 305
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33312-2199
Country	:	US
Telephone Number	:	305-505-5338
Fax Number	:

Provider Business Practice Location Address
First Line	:	426 SW 27TH AVE APT 305
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33312-2199
Country	:	US
Telephone Number	:	305-505-5338
Fax Number	:

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

Provider Enumeration Date	:	12/22/2022
Last Update Date	:	03/30/2026

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Directions to “ EVELYN VALENTI TAMAYO RBT” Practice Location

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