Provider Demographics
NPI:1144036971
Name:FERREIRO DEL TORO, MILENA (RBT-24-396490)
Entity type:Individual
Prefix:
First Name:MILENA
Middle Name:
Last Name:FERREIRO DEL TORO
Suffix:
Gender:F
Credentials:RBT-24-396490
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4757 ORANGE GROVE BLVD APT D7
Mailing Address - Street 2:
Mailing Address - City:NORTH FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33903-4597
Mailing Address - Country:US
Mailing Address - Phone:239-258-6135
Mailing Address - Fax:
Practice Address - Street 1:4757 ORANGE GROVE BLVD APT D7
Practice Address - Street 2:
Practice Address - City:NORTH FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33903-4597
Practice Address - Country:US
Practice Address - Phone:239-258-6135
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-06
Last Update Date:2024-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRBT-24-396490106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician