Provider Demographics
NPI:1134771439
Name:BARBERA, DARLENE
Entity type:Individual
Prefix:
First Name:DARLENE
Middle Name:
Last Name:BARBERA
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 1:1427 SE 17TH AVE
Mailing Address - Street 2:
Mailing Address - City:CAPE CORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33990-3820
Mailing Address - Country:US
Mailing Address - Phone:786-230-9071
Mailing Address - Fax:
Practice Address - Street 1:1427 SE 17TH AVE
Practice Address - Street 2:
Practice Address - City:CAPE CORAL
Practice Address - State:FL
Practice Address - Zip Code:33990-3820
Practice Address - Country:US
Practice Address - Phone:786-230-9071
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-07-16
Last Update Date:2024-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician