Healthcare Provider Details

I. General information

NPI: 1912607904
Provider Name (Legal Business Name): MARIA ELENA BARRIZONTE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/08/2023
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17320 NW 62ND PL
HIALEAH FL
33015-4501
US

IV. Provider business mailing address

17320 NW 62ND PL
HIALEAH FL
33015-4501
US

V. Phone/Fax

Practice location:
  • Phone: 786-862-9622
  • Fax:
Mailing address:
  • Phone: 786-862-9522
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberBACB837888
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code106E00000X
TaxonomyAssistant Behavior Analyst
License Number0-26-2830587
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: