MEDICARE: YARIANNY CARRALERO BERRIZ

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	BACB849956	FL

General Provider Information

NPI Number	:	1952101792
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YARIANNY CARRALERO BERRIZ

Provider Business Mailing Address
First Line	:	4832 SW 135TH PL
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33175-3850
Country	:	US
Telephone Number	:	786-273-1645
Fax Number	:

Provider Business Practice Location Address
First Line	:	4832 SW 135TH PL
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33175-3850
Country	:	US
Telephone Number	:	786-273-1645
Fax Number	:

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

Provider Enumeration Date	:	03/18/2025
Last Update Date	:	03/18/2025

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Directions to “ YARIANNY CARRALERO BERRIZ ” Practice Location

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