Provider Demographics
NPI:1699372870
Name:ZHAO, KAREN (RBT)
Entity Type:Individual
Prefix:MS
First Name:KAREN
Middle Name:
Last Name:ZHAO
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 1:8303 SW 107TH AVE APT A
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33173-3805
Mailing Address - Country:US
Mailing Address - Phone:786-908-7294
Mailing Address - Fax:
Practice Address - Street 1:8303 SW 107TH AVE APT A
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33173-3805
Practice Address - Country:US
Practice Address - Phone:786-908-7294
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-01
Last Update Date:2020-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior Analyst