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Organization
CARBALLOSA RBT LLC
Active
Organization
CARBALLOSA RBT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ISBEIDIS CARBALLOSA VERDECIA (PRESIDENT)
(786) 370-7881
Entity
Organization
Contact information
Practice address
1060 W 74TH ST APT 102, HIALEAH, FL 33014-4657
(786) 370-7881
Mailing address
1060 W 74TH ST APT 102, HIALEAH, FL 33014-4657
(786) 370-7881
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/21/2021
Last updated
10/21/2021
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