DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MIVIALA LAGO FERNANDEZ

Active Sole Proprietor

MIVIALA LAGO FERNANDEZ is a Behavior Technician healthcare provider located in FT LAUDERDALE, Florida. NPI 1497207021 is currently active in the NPPES registry. Verify at CMS.

Behavior Technician · FT LAUDERDALE, FL

Registration Details

NPI Number
1497207021
Provider Type
Individual
Gender
Female
NPI Issued
Oct 31, 2016 (9.6024063921127 yrs)
Last Updated
Mar 7, 2025
Licenses
16651 (FL)
RBT-25-403625 (FL)
Sole Proprietor
Yes

Practice Information

Address
5310 SW 26TH TER
FT LAUDERDALE, FL, 333127461
Browse FL providers · Browse ZIP 33312
Phone
7868573777
Primary Specialty
Behavior Technician
106S00000X
Additional Specialty
Behavior Technician

Other Behavior Technician Providers in FT LAUDERDALE, FL

Name Credential NPI
SANTIKA PONDER 1700126612
KATTYS ELENA MENDOZA 1245756790
JENNIFER SIMON 1508383043
JULIA YUDELKYS VARGAS TAMAYO 1679083398
BRIAN SMART 1396250130
KIMBERLY WOO 1811497597
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.