Most Relevant Information
Provider Data
| NPI Number: | 1003699455 |
| Provider Name: | CAROL REIGOSA |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: | RBT-23-291622 |
Most Important Dates
| Enumeration Date: | 08/17/2023 |
| Last Updated: | 08/17/2023 |
Provider Practice Location
244 NW 57TH AVE APT 4
MIAMI
FL
331264818
Practice Location Phone/Fax
| Phone: | 7865604697 |
| Fax: |
Provider Mailing Location
244 NW 57TH AVE APT 4
MIAMI
FL
331264818
Provider Mailing Phone/Fax
| Phone: | 7865604697 |
| Fax: |