Provider Demographics
NPI:1083413850
Name:BARRIOS, JEANETTE SANDY
Entity type:Individual
Prefix:
First Name:JEANETTE
Middle Name:SANDY
Last Name:BARRIOS
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7810 NW 174TH TER
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33015-3620
Mailing Address - Country:US
Mailing Address - Phone:305-725-3063
Mailing Address - Fax:
Practice Address - Street 1:7810 NW 174TH TER
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33015-3620
Practice Address - Country:US
Practice Address - Phone:305-725-3063
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-12
Last Update Date:2025-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst