Provider Demographics
NPI:1750150884
Name:PRADO, CARLA CLAUDIA (RBT)
Entity type:Individual
Prefix:
First Name:CARLA
Middle Name:CLAUDIA
Last Name:PRADO
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 1:12310 SW 151ST ST # 15-183
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33186-6119
Mailing Address - Country:US
Mailing Address - Phone:786-843-9937
Mailing Address - Fax:
Practice Address - Street 1:12310 SW 151ST ST # 15-183
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33186-6119
Practice Address - Country:US
Practice Address - Phone:786-843-9937
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-29
Last Update Date:2023-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRBT-23-283527106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician