Healthcare Provider Details
I. General information
NPI: 1497336796
Provider Name (Legal Business Name): TAHIMI BARRIOS TARRERO BCBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 04/19/2021
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7971 RIVIERA BLVD STE 203
MIRAMAR FL
33023-6446
US
IV. Provider business mailing address
712 SE 37TH AVE
HOMESTEAD FL
33033-6242
US
V. Phone/Fax
- Phone: 786-508-3245
- Fax: 561-634-2814
- Phone: 786-343-5193
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103K00000X |
| Taxonomy | Behavior Analyst |
| License Number | 1-26-88960 |
| License Number State | FL |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 106S00000X |
| Taxonomy | Behavior Technician |
| License Number | RBT-20-116318 |
| License Number State | FL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: