Addis Isabel Fraga Barrios, RBT
Behavior Technician in Coconut Creek, FL. Individual provider (NPI-1).
NPI number1104507565
StatusActive
Last updated in NPPESJul 28, 2023
Details
- NPI
- 1104507565
- Entity type
- Individual (NPI-1)
- Name
- Addis Isabel Fraga Barrios
- Credential
- RBT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 28, 2023
- Certification date
- Jul 28, 2023
- Last updated
- Jul 28, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | RBT-19-106502 | FL | Yes |
Practice location
5286 Nw 51st CtCoconut Creek, FL 33073-4932
Phone 786-503-5470
Mailing address
5286 Nw 51st CtCoconut Creek, FL 33073-4932
Phone 786-503-5470
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