Provider Demographics
NPI:1427405299
Name:PARERAS, ANTONIETA (RBT 15-08833)
Entity Type:Individual
Prefix:
First Name:ANTONIETA
Middle Name:
Last Name:PARERAS
Suffix:
Gender:F
Credentials:RBT 15-08833
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7855 NW 12TH ST
Mailing Address - Street 2:117
Mailing Address - City:DORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33126-1826
Mailing Address - Country:US
Mailing Address - Phone:305-742-2189
Mailing Address - Fax:305-742-2190
Practice Address - Street 1:7855 NW 12TH ST
Practice Address - Street 2:117
Practice Address - City:DORAL
Practice Address - State:FL
Practice Address - Zip Code:33126-1826
Practice Address - Country:US
Practice Address - Phone:305-742-2189
Practice Address - Fax:305-742-2190
Is Sole Proprietor?:No
Enumeration Date:2016-05-20
Last Update Date:2016-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst