Provider Demographics
NPI:1194173757
Name:LAMADRID, CARLOS (BCBA)
Entity type:Individual
Prefix:
First Name:CARLOS
Middle Name:
Last Name:LAMADRID
Suffix:
Gender:M
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:417 SE 3RD ST
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33010-5311
Mailing Address - Country:US
Mailing Address - Phone:786-445-3334
Mailing Address - Fax:305-296-9227
Practice Address - Street 1:4793 N CONGRESS AVE STE 203
Practice Address - Street 2:
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33426-7937
Practice Address - Country:US
Practice Address - Phone:561-722-9107
Practice Address - Fax:561-448-6063
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-24
Last Update Date:2025-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
103K00000X, 106E00000X
1-19-36146103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty
No106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior AnalystGroup - Single Specialty