Caroline Carreno

Individual provider Active NPI Behavior Technician · Valrico, FL

NPI 1336733963 · NPPES record last updated Feb 24, 2021

Key facts

NPI
1336733963
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
License
RBT-21-155618 (FL)
Practice address
2615 Ridgetop Way
Valrico, FL 33594-4226
Phone
(813) 369-5926
NPI assigned
Feb 24, 2021
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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-21-155618FLMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Brilliance Therapy Solutions Inc Current
since Mar 4, 2021
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-21-155618 FL Yes

Addresses

Primary practice location

2615 Ridgetop Way
Valrico, FL 33594-4226

Mailing address

8218 Clermont St
Tampa, FL 33637-6573
Phone (813) 527-1356

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address info@brilliancets.org

Other providers in Valrico, FL

All providers in Valrico, FL · Behavior Technician in Florida

Sources for this page

Verify at the official NPI Registry.