Provider Demographics
NPI:1275361610
Name:BUTCHEY NAVAS, KARINA MILAGROS
Entity type:Individual
Prefix:
First Name:KARINA
Middle Name:MILAGROS
Last Name:BUTCHEY NAVAS
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 1:10060 SHERIDAN ST
Mailing Address - Street 2:APT 201
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33024
Mailing Address - Country:US
Mailing Address - Phone:347-455-4311
Mailing Address - Fax:
Practice Address - Street 1:10060 SHERIDAN ST
Practice Address - Street 2:APT 201
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33024
Practice Address - Country:US
Practice Address - Phone:347-455-4311
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-25
Last Update Date:2024-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician