Individual
CARLOS JAVIER SUAREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BCABA
Contact information
Practice address
12125 SW 101ST ST, MIAMI, FL 33186-2626
(305) 283-6739
Mailing address
12125 SW 101ST ST, MIAMI, FL 33186-2626
(305) 283-6739
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
0-16-7404
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
681493096
—
FL
Enumeration date
09/30/2016
Last updated
09/30/2016
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