Provider Demographics
NPI:1538756085
Name:DEL RIO, HAYDN (RBT)
Entity type:Individual
Prefix:
First Name:HAYDN
Middle Name:
Last Name:DEL RIO
Suffix:
Gender:
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5893 FOLKSTONE LN
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32822-9416
Mailing Address - Country:US
Mailing Address - Phone:786-380-6485
Mailing Address - Fax:
Practice Address - Street 1:5893 FOLKSTONE LN
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32822-9416
Practice Address - Country:US
Practice Address - Phone:786-380-6485
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-30
Last Update Date:2025-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician