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

Jorge Manuel Lazo de la Vega

Individual provider Behavior Technician · NPI 1336849710

Jorge Manuel Lazo de la Vega is a Behavior Technician in Miramar, Florida. Practices as a sole proprietor and works from 2 locations. Licensed in Florida.

Licensed in
FL
In the registry since
2023

Practice location Address checks out

7971 Riviera Blvd Ste 203
Miramar, FL 33023-6446
Phone: (786) 508-3245
Fax: (561) 634-2814
Show map & directions

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

Additional practice locations (1)

  • 1600 S Dixie Hwy Ste 405, Boca Raton, FL 33432-7454 — (786) 278-5903

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X · Licence RBT-23-259401 (FL)

Record details

NPI number1336849710
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 6, 2023
Last updated in NPPESApril 2, 2026
Certification dateApril 2, 2026

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