Provider Demographics
NPI:1437405834
Name:CARTAS, GRISEL (LCSW, BCBA)
Entity Type:Individual
Prefix:MISS
First Name:GRISEL
Middle Name:
Last Name:CARTAS
Suffix:
Gender:F
Credentials:LCSW, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1338 SW 154TH CT
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33194-2640
Mailing Address - Country:US
Mailing Address - Phone:305-397-5013
Mailing Address - Fax:
Practice Address - Street 1:5455 SW 8TH ST STE 230
Practice Address - Street 2:
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33134-2290
Practice Address - Country:US
Practice Address - Phone:786-629-8836
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-08-03
Last Update Date:2022-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
103K00000X
FLISW55481041C0700X
FLSW112351041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst