Provider Demographics
NPI:1083459945
Name:RODRIGUEZ BARRABI, THALIA
Entity type:Individual
Prefix:MS
First Name:THALIA
Middle Name:
Last Name:RODRIGUEZ BARRABI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27707 S DIXIE HWY UNIT 217
Mailing Address - Street 2:
Mailing Address - City:HOMESTEAD
Mailing Address - State:FL
Mailing Address - Zip Code:33032-8218
Mailing Address - Country:US
Mailing Address - Phone:786-226-7868
Mailing Address - Fax:
Practice Address - Street 1:27707 S DIXIE HWY UNIT 217
Practice Address - Street 2:
Practice Address - City:HOMESTEAD
Practice Address - State:FL
Practice Address - Zip Code:33032-8218
Practice Address - Country:US
Practice Address - Phone:786-226-7868
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-01
Last Update Date:2024-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior TechnicianGroup - Single Specialty