Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ezekiel Roque

Individual provider Behavior Technician · NPI 1356106561

Ezekiel Roque is a Behavior Technician in Davie, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2024

Practice location Address checks out

4801 S University Dr Ste 130
Davie, FL 33328-3832
Phone: (954) 592-8659
Fax: (561) 516-8183
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X · Licence RBT-24-326779 (FL)

Record details

NPI number1356106561
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedFebruary 16, 2024
Last updated in NPPESFebruary 16, 2024
Certification dateFebruary 16, 2024
Mailing address4801 S University Dr Ste 130, Davie, FL 33328-3832

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