Individual
MRS. CHRISTIAN RUBY CARBONELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
12801 SW 30TH ST, MIRAMAR, FL 33027-5300
(305) 469-3603
Mailing address
12801 SW 30TH ST, MIRAMAR, FL 33027-5300
(305) 469-3603
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-09-6542
FL
222Q00000X
Developmental Therapist
—
—
252Y00000X
Early Intervention Provider Agency
0-02-0435 CERTIFICAT
FL
Other
Enumeration date
08/13/2008
Last updated
04/05/2022
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