Individual
JOSE LUIS ERICE LAFONT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
417 18TH ST NE APT L3, WASHINGTON, DC 20002-4668
(305) 764-1673
Mailing address
417 18TH ST NE APT L3, WASHINGTON, DC 20002-4668
(305) 764-1673
(305) 786-4674
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
FL
103K00000X
Behavior Analyst
—
—
106S00000X
Behavior Technician
Primary
—
MD
106S00000X
Behavior Technician
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1932613064
—
FL
05
—
1932613064
—
MD
Enumeration date
11/28/2017
Last updated
02/07/2024
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