Carta Brizuela, Ernesto Alejandro

Carta Brizuela, Ernesto Alejandro is an sole proprietor health care provider with primary practice located at 13195 Sw 134Th St Ste 201 , Miami FL 33186-4585. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Assistant Behavior Analyst, Behavioral Health & Social Service Providers / Behavior Technician, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Behavioral Analyst is his primary health care specialty. Carta Brizuela, Ernesto Alejandro can be contacted via phone (786) 206-6500.

Contact Information

Primary practice address
13195 Sw 134Th St Ste 201 Miami FL 33186-4585
Phone: (786) 206-6500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Assistant Behavior Analyst 106E00000X 0-20-10854 Florida
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-21-55382 Florida

Profile Details

NPI number 1003475468
LBN Legal business name Carta Brizuela, Ernesto Alejandro
Credentials BCBA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 10th, 2019
Last updated Jun 2nd, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003475468 NPPES
Florida MEDICAID 22180200

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