Individual
ABRAHAM LAZARO URBINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
12950 SW 133RD CT, MIAMI, FL 33186-5806
(305) 255-6203
Mailing address
14721 SW 296TH ST, HOMESTEAD, FL 33033-2849
(786) 678-8366
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
U615-012-02-142-0
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
92-0366937
—
FL
Enumeration date
10/05/2022
Last updated
10/05/2022
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