Provider Demographics
NPI:1659870434
Name:REMON COLLADO, ISABEL MARIA
Entity Type:Individual
Prefix:
First Name:ISABEL
Middle Name:MARIA
Last Name:REMON COLLADO
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 1:9800 CARIBBEAN BLVD
Mailing Address - Street 2:
Mailing Address - City:CUTLER BAY
Mailing Address - State:FL
Mailing Address - Zip Code:33189-1521
Mailing Address - Country:US
Mailing Address - Phone:305-498-0649
Mailing Address - Fax:786-701-8538
Practice Address - Street 1:9800 CARIBBEAN BLVD
Practice Address - Street 2:
Practice Address - City:CUTLER BAY
Practice Address - State:FL
Practice Address - Zip Code:33189-1521
Practice Address - Country:US
Practice Address - Phone:305-498-0649
Practice Address - Fax:786-701-8538
Is Sole Proprietor?:No
Enumeration Date:2018-02-07
Last Update Date:2023-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
BCABA-0-21-13079106E00000X, 106E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior Analyst