Provider Demographics
NPI:1144803073
Name:BARZAGA, DULCE MARIA (BEHAVIOR THERAPIST)
Entity Type:Individual
Prefix:
First Name:DULCE
Middle Name:MARIA
Last Name:BARZAGA
Suffix:
Gender:F
Credentials:BEHAVIOR THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6625 W 4TH AVE APT 118
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33012-6684
Mailing Address - Country:US
Mailing Address - Phone:786-416-3291
Mailing Address - Fax:
Practice Address - Street 1:6625 W 4TH AVE APT 118
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33012-6684
Practice Address - Country:US
Practice Address - Phone:786-416-3291
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-29
Last Update Date:2021-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRBT-20-137151106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician