Healthcare Provider Details

I. General information

NPI: 1811414410
Provider Name (Legal Business Name): MS. CAROLINA NAU
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/24/2017
Last Update Date: 04/22/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5180 W ATLANTIC AVE STE 114
DELRAY BEACH FL
33484-8103
US

IV. Provider business mailing address

223 W CHRYSTIE CIR
DELRAY BEACH FL
33484-8155
US

V. Phone/Fax

Practice location:
  • Phone: 561-674-9996
  • Fax:
Mailing address:
  • Phone: 561-927-7712
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code222Q00000X
TaxonomyDevelopmental Therapist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-18-32504
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: