Provider Demographics
NPI:1124388061
Name:BARRIAL, MICHELLE (RBT)
Entity Type:Individual
Prefix:
First Name:MICHELLE
Middle Name:
Last Name:BARRIAL
Suffix:
Gender:F
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7548 BUCCANEER AVE BAY VILLAGE
Mailing Address - Street 2:
Mailing Address - City:NORTH BAY VILLAGE
Mailing Address - State:FL
Mailing Address - Zip Code:33141-4112
Mailing Address - Country:US
Mailing Address - Phone:786-683-9700
Mailing Address - Fax:
Practice Address - Street 1:12985 SW 130TH CT
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33186-5312
Practice Address - Country:US
Practice Address - Phone:305-290-2493
Practice Address - Fax:786-800-5433
Is Sole Proprietor?:No
Enumeration Date:2012-05-25
Last Update Date:2023-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL21-166233106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician