MEDICARE: LIANIE ASEFF RODRIGUEZ

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-24-390573	FL

General Provider Information

NPI Number	:	1902620644
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LIANIE ASEFF RODRIGUEZ

Provider Business Mailing Address
First Line	:	21311 NW 40TH CIRCLE CT
Second Line	:
City	:	MIAMI GARDENS
State	:	FL
Zip	:	33055-1179
Country	:	US
Telephone Number	:	786-992-3738
Fax Number	:

Provider Business Practice Location Address
First Line	:	21311 NW 40TH CIRCLE CT
Second Line	:
City	:	MIAMI GARDENS
State	:	FL
Zip	:	33055-1179
Country	:	US
Telephone Number	:	786-992-3738
Fax Number	:

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

Provider Enumeration Date	:	11/11/2024
Last Update Date	:	03/12/2026

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