Provider Demographics
NPI:1255925582
Name:JUAREZ, CLARIZA (RBT)
Entity type:Individual
Prefix:
First Name:CLARIZA
Middle Name:
Last Name:JUAREZ
Suffix:
Gender:
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12172 SAINT ANDREWS PL APT 105
Mailing Address - Street 2:
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33025-0754
Mailing Address - Country:US
Mailing Address - Phone:954-381-9779
Mailing Address - Fax:
Practice Address - Street 1:12172 SAINT ANDREWS PL APT 105
Practice Address - Street 2:
Practice Address - City:MIRAMAR
Practice Address - State:FL
Practice Address - Zip Code:33025-0754
Practice Address - Country:US
Practice Address - Phone:954-381-9779
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-02-26
Last Update Date:2025-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL20-120469103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst