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NPI Code Detail

MEDICARE: ELSA VILLALBA RBT

MEDICARE:   ELSA  VILLALBA  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
1106S00000XBehavior TechnicianRBT-25-499165FL

General Provider Information

NPI Number : 1760347959
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELSA VILLALBA RBT
Provider Business Mailing Address
First Line : 8600 SW 133RD AVENUE RD APT 221
Second Line :
City : MIAMI
State : FL
Zip : 33183-5308
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 8600 SW 133RD AVENUE RD APT 221
Second Line :
City : MIAMI
State : FL
Zip : 33183-5308
Country : US
Telephone Number : 786-219-7153
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/19/2025
Last Update Date : 12/19/2025

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Directions to “ ELSA VILLALBA RBT” Practice Location

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