Provider Demographics
NPI:1548025265
Name:CORZO ARBELAEZ, PAULA ANDREA (RBT-24-328214)
Entity type:Individual
Prefix:
First Name:PAULA
Middle Name:ANDREA
Last Name:CORZO ARBELAEZ
Suffix:
Gender:F
Credentials:RBT-24-328214
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16730 SW 94TH AVE
Mailing Address - Street 2:
Mailing Address - City:PALMETTO BAY
Mailing Address - State:FL
Mailing Address - Zip Code:33157-3416
Mailing Address - Country:US
Mailing Address - Phone:786-695-5870
Mailing Address - Fax:
Practice Address - Street 1:16730 SW 94TH AVE
Practice Address - Street 2:
Practice Address - City:PALMETTO BAY
Practice Address - State:FL
Practice Address - Zip Code:33157-3416
Practice Address - Country:US
Practice Address - Phone:786-695-5870
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-21
Last Update Date:2024-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRBT-24-328214106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician