| Provider / Organization | NPI | Date Certified |
|---|---|---|
| MARIA BLANCO DE CARRASCO | 1689451031 | 2023-09-11 |
Maria Blanco De Carrasco is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1689451031. Registration indicates Maria Blanco De Carrasco is a provider of services with a specialization in Behavioral Health & Social Service Providers, Behavior Technician (Behavior Technician, Behavioral Health & Social Service Providers) (Behavior Technician, )
| Entity Type | Individual |
| Provider Name | Maria Blanco De Carrasco |
| Practice Office Address | 3066 S JOG RD GREENACRES, FL US |
| Practice Office Telephone | 5617884086 |
| Practice Office Fax | 5612280540 |
| Mailing Address | 1230 PARKSIDE GREEN DR APT B GREENACRES, FL 334151512 US |
| Business Telephone | 5617083372 |
| Code | Practice | License No State |
|---|---|---|
| 106S00000X PRIMARY | Behavioral Health & Social Service Providers Behavior Technician Behavior Technician Behavioral Health & Social Service Providers Behavior Technician | RBT-23-296012
FL |