Maria Rosa Carvallo

Individual provider Active NPI Behavior Technician · Princeton, FL

NPI 1982397022 · NPPES record last updated Jun 2, 2023

Key facts

NPI
1982397022
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
License
BACB911537 (FL)
Practice address
13051 SW 242ND St
Princeton, FL 33032-4127
Phone
(786) 862-4769
NPI assigned
Jun 2, 2023
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
BACB911537FLMDBehavior Technician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X BACB911537 FL Yes

Addresses

Primary practice location

13051 SW 242ND St
Princeton, FL 33032-4127

Mailing address

13051 SW 242ND St
Princeton, FL 33032-4127
Phone (786) 862-4769

Other providers in Princeton, FL

All providers in Princeton, FL · Behavior Technician in Florida

Sources for this page

Verify at the official NPI Registry.