Provider Demographics
NPI:1821874330
Name:CARMONA ZAMORA, BRENDA (RBT)
Entity Type:Individual
Prefix:
First Name:BRENDA
Middle Name:
Last Name:CARMONA ZAMORA
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 1:16027 SW 86TH TER
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33193-5202
Mailing Address - Country:US
Mailing Address - Phone:747-305-5965
Mailing Address - Fax:
Practice Address - Street 1:16027 SW 86TH TER
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33193-5202
Practice Address - Country:US
Practice Address - Phone:747-305-5965
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-31
Last Update Date:2023-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRBT-23-294125106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician