Basic Information
| Provider Information | |||||||||
| NPI: | 1447691290 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | SUAREZ | ||||||||
| FirstName: | LILIANNE | ||||||||
| MiddleName: | |||||||||
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| Credential: | BCABA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 10250 SW 56TH ST STE D201 | ||||||||
| Address2: | |||||||||
| City: | MIAMI | ||||||||
| State: | FL | ||||||||
| PostalCode: | 331657098 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8885278037 | ||||||||
| FaxNumber: | 8885278037 | ||||||||
| Practice Location | |||||||||
| Address1: | 10250 SW 56TH ST STE D201 | ||||||||
| Address2: | |||||||||
| City: | MIAMI | ||||||||
| State: | FL | ||||||||
| PostalCode: | 331657098 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7863330978 | ||||||||
| FaxNumber: | 3052643649 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/09/2013 | ||||||||
| LastUpdateDate: | 09/11/2019 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 103K00000X | 0-13-5486 | FL | Y | Behavioral Health & Social Service Providers | Behavioral Analyst |
No ID Information.