Provider Demographics
NPI:1821446428
Name:ROMERO, KARINA MARIA (BCBA)
Entity Type:Individual
Prefix:MRS
First Name:KARINA
Middle Name:MARIA
Last Name:ROMERO
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1613 TUDOR LN
Mailing Address - Street 2:
Mailing Address - City:TAVARES
Mailing Address - State:FL
Mailing Address - Zip Code:32778-4336
Mailing Address - Country:US
Mailing Address - Phone:786-800-6513
Mailing Address - Fax:
Practice Address - Street 1:1613 TUDOR LN
Practice Address - Street 2:
Practice Address - City:TAVARES
Practice Address - State:FL
Practice Address - Zip Code:32778-4336
Practice Address - Country:US
Practice Address - Phone:786-800-6513
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-25
Last Update Date:2023-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1-20-41708103K00000X
FL1-20-41708103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty