Most Relevant Information
Provider Data
| NPI Number: | 1003594425 |
| Provider Name: | JUSTTIN ELIAS CARABALLO |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/06/2023 |
| Last Updated: | 07/06/2023 |
Provider Practice Location
652 HATCHWOOD DR
HAINES CITY
FL
338448208
Practice Location Phone/Fax
| Phone: | 9175923460 |
| Fax: |
Provider Mailing Location
652 HATCHWOOD DR
HAINES CITY
FL
338448208
Provider Mailing Phone/Fax
| Phone: | 9175923460 |
| Fax: |