Healthcare Provider Details

I. General information

NPI: 1033644877
Provider Name (Legal Business Name): ENRIQUE BARREIRO
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/01/2017
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1220 W 62ND ST
HIALEAH FL
33012-6319
US

IV. Provider business mailing address

1220 W 62ND ST
HIALEAH FL
33012-6319
US

V. Phone/Fax

Practice location:
  • Phone: 786-302-8472
  • Fax:
Mailing address:
  • Phone: 786-302-8472
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106E00000X
TaxonomyAssistant Behavior Analyst
License Number
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: