CARLOS VIVANCO

LAKE PARK, FL
NPI1043034986
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy106S00000X Behavior Technician
Additional Taxonomies103K00000X Behavior Analyst
Enumeration Date2024-11-07
Last Update Date2024-11-07
Business Address
CARLOS VIVANCO RBT
501 N FEDERAL HWY
LAKE PARK, FL 33403-3557
Phone number: 561-284-6680
Mailing Address
CARLOS VIVANCO RBT
280 E 42ND ST
HIALEAH, FL 33013-2246
Phone number: 786-942-1120