Most Relevant Information
Provider Data
| NPI Number: | 1003575929 |
| Provider Name: | PAULA LIZARAZO |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 12/08/2021 |
| Last Updated: | 12/08/2021 |
Provider Practice Location
1180 N KROME AVE
HOMESTEAD
FL
330304413
Practice Location Phone/Fax
| Phone: | 7863494700 |
| Fax: |
Provider Mailing Location
13963 SW 46TH TER APT B
MIAMI
FL
331754434
Provider Mailing Phone/Fax
| Phone: | 3059043525 |
| Fax: |