Provider Demographics
NPI:1134993074
Name:VERA CAREAGA, LEIDYS (RBT)
Entity type:Individual
Prefix:
First Name:LEIDYS
Middle Name:
Last Name:VERA CAREAGA
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 1:1551 W OKEECHOBEE RD APT 20
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33010-2852
Mailing Address - Country:US
Mailing Address - Phone:786-304-0474
Mailing Address - Fax:
Practice Address - Street 1:18501 PINES BLVD STE 372
Practice Address - Street 2:
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33029-1414
Practice Address - Country:US
Practice Address - Phone:954-237-8545
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-10
Last Update Date:2024-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician