Provider Demographics
NPI:1598557902
Name:ALVAREZ GONZALEZ, WALDO (RBT)
Entity type:Individual
Prefix:
First Name:WALDO
Middle Name:
Last Name:ALVAREZ GONZALEZ
Suffix:
Gender:M
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12948 SW 265TH TER
Mailing Address - Street 2:
Mailing Address - City:HOMESTEAD
Mailing Address - State:FL
Mailing Address - Zip Code:33032-7773
Mailing Address - Country:US
Mailing Address - Phone:813-706-8454
Mailing Address - Fax:
Practice Address - Street 1:12948 SW 265TH TER
Practice Address - Street 2:
Practice Address - City:HOMESTEAD
Practice Address - State:FL
Practice Address - Zip Code:33032-7773
Practice Address - Country:US
Practice Address - Phone:813-706-8454
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-21
Last Update Date:2025-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRBT-25-431830106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician