| Bacaro Innovative Therapies LLC | |
|
2459 W 70th St Hialeah FL 33016-5441 | |
| (786) 571-0939 | |
| Not Available |
| Full Name | Bacaro Innovative Therapies LLC |
|---|---|
| Speciality | Behavior Analyst |
| Location | 2459 W 70th St, Hialeah, Florida |
| Authorized Official Name and Position | Janiett Bacaro Marrero (OWNER) |
| Authorized Official Contact | 7865710939 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bacaro Innovative Therapies LLC 2459 W 70th St Hialeah FL 33016-5441 Ph: (786) 571-0939 | Bacaro Innovative Therapies LLC 2459 W 70th St Hialeah FL 33016-5441 Ph: (786) 571-0939 |
| NPI Number | 1124637996 |
|---|---|
| Provider Enumeration Date | 07/28/2020 |
| Last Update Date | 01/05/2023 |
| Certification Date | 01/05/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124637996 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (NU) | Secondary |
| 103K00000X | Behavior Analyst | (NU) | Primary |
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