Individual
TERESITA IBARRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2030 S DOUGLAS RD STE 215, CORAL GABLES, FL 33134-4620
(786) 444-6433
Mailing address
8707 SW 159TH PATH, MIAMI, FL 33193-5285
(786) 444-6433
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-20-43656
FL
106H00000X
Marriage & Family Therapist
Primary
MT2838
FL
Other
Enumeration date
09/15/2013
Last updated
04/05/2024
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