Karen Aguirre, MHA

Individual provider Active NPI Behavior Technician · Port St Lucie, FL

NPI 1003656463 · NPPES record last updated May 31, 2024

Key facts

NPI
1003656463
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
License
RBT-24-341168 (FL)
Practice address
2526 SE Rock Springs Dr
Port St Lucie, FL 34952-7352
Phone
(772) 307-9276
NPI assigned
May 31, 2024
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
RBT-24-341168FLMDBehavior Technician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-24-341168 FL Yes

Addresses

Primary practice location

2526 SE Rock Springs Dr
Port St Lucie, FL 34952-7352

Mailing address

2526 SE Rock Springs Dr
Port St Lucie, FL 34952-7352
Phone (772) 307-9276

Other names

  • Karen Miranda Former name

Other providers in Port St Lucie, FL

All providers in Port St Lucie, FL · Behavior Technician in Florida

Sources for this page

Verify at the official NPI Registry.