Provider Demographics
NPI:1407381726
Name:BARBON TOIRAC, BEXIS
Entity Type:Individual
Prefix:
First Name:BEXIS
Middle Name:
Last Name:BARBON TOIRAC
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:415 NW 85TH PL APT 8
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33126-3856
Mailing Address - Country:US
Mailing Address - Phone:786-805-8845
Mailing Address - Fax:
Practice Address - Street 1:415 NW 85TH PL APT 8
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33126-3856
Practice Address - Country:US
Practice Address - Phone:786-805-8845
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-24
Last Update Date:2017-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician