MEDICARE: ARIADNA BARBAN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106S00000X	Behavior Technician
2	106E00000X	Assistant Behavior Analyst	0-20-11208	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1033654710
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ARIADNA BARBAN

Provider Business Mailing Address
First Line	:	789 NW 145TH. TERRACE
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33168
Country	:	US
Telephone Number	:	305-879-9182
Fax Number	:

Provider Business Practice Location Address
First Line	:	661 E 11TH PL
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33010-3645
Country	:	US
Telephone Number	:	305-879-9182
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/04/2017
Last Update Date	:	09/24/2024

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Directions to “ ARIADNA BARBAN ” Practice Location

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