Healthcare Provider Details

I. General information

NPI: 1578861738
Provider Name (Legal Business Name): MARTHA ALFARO MFT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/11/2011
Last Update Date: 06/03/2026
Certification Date: 06/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8992 NW 112TH TER
HIALEAH GARDENS FL
33018-4517
US

IV. Provider business mailing address

8992 NW 112TH TER
HIALEAH GARDENS FL
33018-4517
US

V. Phone/Fax

Practice location:
  • Phone: 305-588-6860
  • Fax:
Mailing address:
  • Phone: 305-588-6860
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License NumberBCBA1-17-28751
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberMT2778
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: