Provider Demographics
NPI:1619547734
Name:BANOS, CLAUDIA DE LA CARIDAD
Entity Type:Individual
Prefix:
First Name:CLAUDIA
Middle Name:DE LA CARIDAD
Last Name:BANOS
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 1:6201 N FALLS CIRCLE DR APT 406
Mailing Address - Street 2:
Mailing Address - City:LAUDERHILL
Mailing Address - State:FL
Mailing Address - Zip Code:33319-6856
Mailing Address - Country:US
Mailing Address - Phone:754-971-2186
Mailing Address - Fax:
Practice Address - Street 1:3691 NW 124TH AVE
Practice Address - Street 2:
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33065-2409
Practice Address - Country:US
Practice Address - Phone:954-345-8483
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-30
Last Update Date:2021-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLBACB670305103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst