Provider Demographics
NPI:1952136830
Name:POZO, VERONICA ALEJANDRA (RBT)
Entity type:Individual
Prefix:
First Name:VERONICA
Middle Name:ALEJANDRA
Last Name:POZO
Suffix:
Gender:F
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1703 NW 46TH ST
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33309-3706
Mailing Address - Country:US
Mailing Address - Phone:954-529-6188
Mailing Address - Fax:
Practice Address - Street 1:1703 NW 46TH ST
Practice Address - Street 2:
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33309-3706
Practice Address - Country:US
Practice Address - Phone:954-529-6188
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-03
Last Update Date:2024-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRBT-24-349392106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician