Jorge Vidal Barreto Carrazana

NPI #1922814359 in Sunrise, Florida

Provider Information

NPI Number: 1922814359
Entity Type: Individual
Name: Jorge Vidal Barreto Carrazana
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Dec 10, 2024
Last Updated: Dec 10, 2024

Practice Location

Address: 3776 NW 107TH TER
City: Sunrise
State: Florida
ZIP Code: 33351-8111
Phone: (305) 240-7530

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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