Healthcare Provider Details

I. General information

NPI: 1770494965
Provider Name (Legal Business Name): BARRETTO BEHAVIORAL GROUP CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/15/2026
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12915 SW 43RD CT
MIRAMAR FL
33027-3182
US

IV. Provider business mailing address

12915 SW 43RD CT
MIRAMAR FL
33027-3182
US

V. Phone/Fax

Practice location:
  • Phone: 786-381-3011
  • Fax:
Mailing address:
  • Phone: 786-381-3011
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name: SANDRA MONTANO BARRETO
Title or Position: OWNER
Credential: BCBA
Phone: 786-381-3011