Healthcare Provider Details

I. General information

NPI: 1780040790
Provider Name (Legal Business Name): MARIA ALFARO BS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/06/2016
Last Update Date: 01/14/2025
Certification Date: 01/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2806 SW 144TH PL
MIAMI FL
33175
US

IV. Provider business mailing address

2806 SW 144TH PL
MIAMI FL
33175-7443
US

V. Phone/Fax

Practice location:
  • Phone: 786-362-0428
  • Fax:
Mailing address:
  • Phone: 786-362-0428
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-24-78222
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-18-52902
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: