Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 106S00000X | Behavior Technician | FL |
NPI | 1003410952 |
---|---|
Provider Name | Elizabeth Barreras |
First Address | Miami, FL 33177-2755 |
Second Address | Miami, FL 33177-2755 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/11/2020 |
Last Update Date | 22/11/2020 |