Marilis Carrasco
Behavior Technician in North Miami, FL. Individual provider (NPI-1).
NPI number1114790367
StatusActive
Last updated in NPPESOct 31, 2023
Details
- NPI
- 1114790367
- Entity type
- Individual (NPI-1)
- Name
- Marilis Carrasco
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 31, 2023
- Certification date
- Oct 31, 2023
- Last updated
- Oct 31, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
555 Ne 123rd StNorth Miami, FL 33161-5476
Phone 305-542-3534
Mailing address
555 Ne 123rd StNorth Miami, FL 33161-5476
Phone 305-542-3534
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