Provider Demographics
NPI:1881588119
Name:MASTRAPA, ELSA (RBT)
Entity type:Individual
Prefix:
First Name:ELSA
Middle Name:
Last Name:MASTRAPA
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 1:7591 W 30TH LN
Mailing Address - Street 2:
Mailing Address - City:HIALEAH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33018-5245
Mailing Address - Country:US
Mailing Address - Phone:786-731-9989
Mailing Address - Fax:
Practice Address - Street 1:2100 W 76TH ST
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33016-5539
Practice Address - Country:US
Practice Address - Phone:786-472-0523
Practice Address - Fax:786-953-4001
Is Sole Proprietor?:No
Enumeration Date:2025-06-03
Last Update Date:2025-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRBT-24-389467106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician