Provider Demographics
NPI:1912520214
Name:CARRERA LAMA, CHRISTIAN (RBT)
Entity Type:Individual
Prefix:
First Name:CHRISTIAN
Middle Name:
Last Name:CARRERA LAMA
Suffix:
Gender:M
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:501 S ROYAL POINCIANA BLVD APT 20
Mailing Address - Street 2:
Mailing Address - City:MIAMI SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33166-7265
Mailing Address - Country:US
Mailing Address - Phone:786-646-8899
Mailing Address - Fax:
Practice Address - Street 1:501 S ROYAL POINCIANA BLVD APT 20
Practice Address - Street 2:
Practice Address - City:MIAMI SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33166-7265
Practice Address - Country:US
Practice Address - Phone:786-646-8899
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-05-20
Last Update Date:2020-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician