Most Relevant Information
Provider Data
| NPI Number: | 1003414384 |
| Provider Name: | KELLYMARIE SOCARRAS |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: | RBT-20-131423 |
Most Important Dates
| Enumeration Date: | 10/09/2020 |
| Last Updated: | 10/09/2020 |
Provider Practice Location
7678 NW 181ST ST
HIALEAH
FL
330156143
Practice Location Phone/Fax
| Phone: | 7863441159 |
| Fax: |
Provider Mailing Location
7678 NW 181ST ST
HIALEAH
FL
330156143
Provider Mailing Phone/Fax
| Phone: | 7863441159 |
| Fax: |