Basic Information
| Provider Information | |||||||||
| NPI: | 1134546229 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | FERRER | ||||||||
| FirstName: | BARBARA | ||||||||
| MiddleName: | |||||||||
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| Mailing Information | |||||||||
| Address1: | 12192 SW 249TH ST | ||||||||
| Address2: | |||||||||
| City: | HOMESTEAD | ||||||||
| State: | FL | ||||||||
| PostalCode: | 330326047 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7863434096 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 12192 SW 249TH ST | ||||||||
| Address2: | |||||||||
| City: | HOMESTEAD | ||||||||
| State: | FL | ||||||||
| PostalCode: | 330326047 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7863434096 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/26/2014 | ||||||||
| LastUpdateDate: | 07/05/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 07/05/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YM0800X | MH 13255 | FL | N | Behavioral Health & Social Service Providers | Counselor | Mental Health | 103K00000X | Y | Behavioral Health & Social Service Providers | Behavioral Analyst |
No ID Information.