Most Relevant Information
Provider Data
| NPI Number: | 1003699190 |
| Provider Name: | JUAN A CARRILLO |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: | RBT-23-279518 |
Most Important Dates
| Enumeration Date: | 08/14/2023 |
| Last Updated: | 08/14/2023 |
Provider Practice Location
1023 79TH ST APT 7
MIAMI BEACH
FL
331411866
Practice Location Phone/Fax
| Phone: | 8325307813 |
| Fax: |
Provider Mailing Location
1023 79TH ST APT 7
MIAMI BEACH
FL
331411866
Provider Mailing Phone/Fax
| Phone: | 8325307813 |
| Fax: |