Individual provider · NPI-1

Carmen I Ealo, RBT

Behavior Technician · Doral, FL

NPI number1558185405
StatusActive
Last updated in NPPESAug 19, 2025

Details

NPI
1558185405
Entity type
Individual (NPI-1)
Name
Carmen I Ealo
Credential
RBT
Sex
Female
Sole proprietor
Yes
Enumeration date
Nov 7, 2024
Certification date
Aug 19, 2025
Last updated
Aug 19, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior TechnicianRBT-24-355411–Yes
247200000X Technician, Other––

Practice location

11633 Nw 87th Ln
Doral, FL 33178-5624

Phone 786-213-5391

Mailing address

11633 Nw 87th Ln
Doral, FL 33178-5624

Phone 786-213-5391

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