MEDICARE: CARLA P CARRATALA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106S00000X	Behavior Technician	RBT-25-497284	FL

General Provider Information

NPI Number	:	1396698429
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CARLA P CARRATALA

Provider Business Mailing Address
First Line	:	2410 SW 54TH ST
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33312-7443
Country	:	US
Telephone Number	:	954-682-2348
Fax Number	:

Provider Business Practice Location Address
First Line	:	2410 SW 54TH ST
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33312-7443
Country	:	US
Telephone Number	:	954-682-2348
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/18/2026
Last Update Date	:	02/18/2026

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Directions to “ CARLA P CARRATALA ” Practice Location

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