Provider Demographics
NPI:1104273838
Name:TAPANES, CARLOS (RBT 1502156)
Entity type:Individual
Prefix:
First Name:CARLOS
Middle Name:
Last Name:TAPANES
Suffix:
Gender:M
Credentials:RBT 1502156
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1331 SW 72ND CT
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33144-5321
Mailing Address - Country:US
Mailing Address - Phone:786-326-5980
Mailing Address - Fax:
Practice Address - Street 1:1331 SW 72ND CT
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33144-5321
Practice Address - Country:US
Practice Address - Phone:786-326-5980
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-23
Last Update Date:2016-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRBT1502156103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLRBT 1502156OtherBACB