Provider Demographics
NPI:1487320982
Name:VALLE ROJAS, LIANE M (RBT-C)
Entity type:Individual
Prefix:
First Name:LIANE
Middle Name:M
Last Name:VALLE ROJAS
Suffix:
Gender:F
Credentials:RBT-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13236 NW 10TH TER
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33182-2237
Mailing Address - Country:US
Mailing Address - Phone:786-253-0705
Mailing Address - Fax:
Practice Address - Street 1:13236 NW 10TH TER
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33182-2237
Practice Address - Country:US
Practice Address - Phone:786-253-0705
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-17
Last Update Date:2021-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRBT21178568106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician