Carolina Brizuela
Individual provider Active NPI Behavior Technician · Homestead, FL
NPI 1104569474 · NPPES record last updated Apr 15, 2022
Key facts
- NPI
- 1104569474
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 12620 SW 264TH St
Homestead, FL 33032-7943 - Phone
- (786) 602-8689
- NPI assigned
- Apr 15, 2022
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
12620 SW 264TH St
Homestead, FL 33032-7943
Mailing address
12620 SW 264TH St
Homestead, FL 33032-7943
Other providers in Homestead, FL
- Danger Ruben Brito Sosa
- Laura Brito
- Maydelin Brito
- Yanny Brito
- Yuneisy Brito
- Yasary Brizuela
- Isis M Broceta Rosales
- Tara Broder
- Lila Brodie
- Velma Ruth Brooks
All providers in Homestead, FL · Behavior Technician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 15, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.