Provider Demographics
NPI:1467970376
Name:VERA, BARBARA Y
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:Y
Last Name:VERA
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 1:26647 SW 126TH AVE
Mailing Address - Street 2:
Mailing Address - City:HOMESTEAD
Mailing Address - State:FL
Mailing Address - Zip Code:33032-7932
Mailing Address - Country:US
Mailing Address - Phone:786-506-6900
Mailing Address - Fax:
Practice Address - Street 1:26647 SW 126TH AVE
Practice Address - Street 2:
Practice Address - City:HOMESTEAD
Practice Address - State:FL
Practice Address - Zip Code:33032-7932
Practice Address - Country:US
Practice Address - Phone:786-506-6900
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-31
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst