Healthcare Provider Details

I. General information

NPI: 1407572464
Provider Name (Legal Business Name): KARLA ESPINOSA RBT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/12/2022
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1925 BIRKDALE DR
WELLINGTON FL
33414-5809
US

IV. Provider business mailing address

620 BARBER AVE
LAKE WORTH BEACH FL
33461-5707
US

V. Phone/Fax

Practice location:
  • Phone: 954-552-6668
  • Fax:
Mailing address:
  • Phone: 561-951-9678
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-26-2856180
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: