Provider Demographics
NPI:1205677432
Name:VERRANI, BEATRICE (BV)
Entity type:Individual
Prefix:MISS
First Name:BEATRICE
Middle Name:
Last Name:VERRANI
Suffix:
Gender:F
Credentials:BV
Other - Prefix:MISS
Other - First Name:BEATRICE
Other - Middle Name:
Other - Last Name:VERRANI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:BV
Mailing Address - Street 1:11190 SW 61ST TER
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33173-1124
Mailing Address - Country:US
Mailing Address - Phone:305-747-3720
Mailing Address - Fax:
Practice Address - Street 1:7875 NW 12TH ST STE 100
Practice Address - Street 2:
Practice Address - City:DORAL
Practice Address - State:FL
Practice Address - Zip Code:33126-1836
Practice Address - Country:US
Practice Address - Phone:786-269-3502
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-03
Last Update Date:2024-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL24-341733106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician