Provider Demographics
NPI:1437928264
Name:ALMEIDA CARRERO, MARIALY (RBT)
Entity Type:Individual
Prefix:
First Name:MARIALY
Middle Name:
Last Name:ALMEIDA CARRERO
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 1:424 CHAPEL TRACE DR APT 303
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32807-6527
Mailing Address - Country:US
Mailing Address - Phone:689-710-5425
Mailing Address - Fax:
Practice Address - Street 1:424 CHAPEL TRACE DR APT 303
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32807-6527
Practice Address - Country:US
Practice Address - Phone:689-710-5425
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-20
Last Update Date:2023-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRBT-23-310312106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician