Healthcare Provider Details
I. General information
NPI: 1477233435
Provider Name (Legal Business Name): ARIENNY DE LA CARIDAD PRADA MIER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 07/24/2023
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
17201 SW 216TH ST
MIAMI FL
33170-1803
US
IV. Provider business mailing address
17201 SW 216TH ST
MIAMI FL
33170-1803
US
V. Phone/Fax
- Phone: 786-727-3270
- Fax:
- Phone: 786-727-3270
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103K00000X |
| Taxonomy | Behavior Analyst |
| License Number | 01-26-89118 |
| License Number State | FL |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 106S00000X |
| Taxonomy | Behavior Technician |
| License Number | RBT-23-285465 |
| License Number State | FL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: