Individual provider · NPI-1

Clarissa Barros

Behavior Technician · Jacksonville, FL

NPI number1366246340
StatusActive
Last updated in NPPESJun 3, 2025

Details

NPI
1366246340
Entity type
Individual (NPI-1)
Name
Clarissa Barros
Sex
Female
Sole proprietor
No
Enumeration date
Apr 1, 2025
Certification date
Jun 3, 2025
Last updated
Jun 3, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician–FLYes
247200000X Technician, Other––

Other names

  • Clarissa Gowan (Former Name)

Practice location

12724 Gran Bay Pkwy W Ste 410
Jacksonville, FL 32258-9486

Phone 855-832-6727

Mailing address

7108 S Kanner Hwy
Stuart, FL 34997-7462

Phone 855-832-6727

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