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NPI Code Detail

MEDICARE: BLANCA LIANNE CARRAZANA GUIO RBT

MEDICARE:   BLANCA LIANNE CARRAZANA GUIO  RBT
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
1106S00000XBehavior TechnicianRBT-24-382770FL

General Provider Information

NPI Number : 1902615800
Entity Type Code : Individual
Provider Name (Legal Business Name) : BLANCA LIANNE CARRAZANA GUIO RBT
Provider Business Mailing Address
First Line : 20650 NW 37TH CT
Second Line :
City : MIAMI GARDENS
State : FL
Zip : 33055-1161
Country : US
Telephone Number : 786-589-2760
Fax Number :
Provider Business Practice Location Address
First Line : 16470 NW 59TH AVE
Second Line :
City : MIAMI LAKES
State : FL
Zip : 33014-5602
Country : US
Telephone Number : 305-822-8434
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/06/2025
Last Update Date : 01/09/2025

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Directions to “ BLANCA LIANNE CARRAZANA GUIO RBT” Practice Location

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