Provider Demographics
NPI:1023849809
Name:ALVAREZ, ALEX J (RBT)
Entity type:Individual
Prefix:
First Name:ALEX
Middle Name:J
Last Name:ALVAREZ
Suffix:
Gender:M
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:21730 SW 101ST AVE
Mailing Address - Street 2:
Mailing Address - City:CUTLER BAY
Mailing Address - State:FL
Mailing Address - Zip Code:33190-1939
Mailing Address - Country:US
Mailing Address - Phone:305-331-7321
Mailing Address - Fax:
Practice Address - Street 1:1325 SE 47TH ST STE I-3
Practice Address - Street 2:
Practice Address - City:CAPE CORAL
Practice Address - State:FL
Practice Address - Zip Code:33904-9692
Practice Address - Country:US
Practice Address - Phone:305-390-2369
Practice Address - Fax:239-695-7306
Is Sole Proprietor?:No
Enumeration Date:2024-08-12
Last Update Date:2024-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRBT-24-360748106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician