Provider Demographics
NPI:1871259267
Name:MORIYON, ALESSANDRO (RBT)
Entity type:Individual
Prefix:MR
First Name:ALESSANDRO
Middle Name:
Last Name:MORIYON
Suffix:
Gender:M
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2995 SW 110TH AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33165-2335
Mailing Address - Country:US
Mailing Address - Phone:786-239-2051
Mailing Address - Fax:
Practice Address - Street 1:2995 SW 110TH AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33165-2335
Practice Address - Country:US
Practice Address - Phone:786-239-2051
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-10
Last Update Date:2021-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRBT-21-187912106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician