Provider Demographics
NPI:1285203943
Name:MONTERROSA, KARLA MAGDA
Entity type:Individual
Prefix:
First Name:KARLA
Middle Name:MAGDA
Last Name:MONTERROSA
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 1:19031 NW 45TH AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33055-2675
Mailing Address - Country:US
Mailing Address - Phone:786-304-9227
Mailing Address - Fax:
Practice Address - Street 1:7971 RIVIERA BLVD STE 302
Practice Address - Street 2:
Practice Address - City:MIRAMAR
Practice Address - State:FL
Practice Address - Zip Code:33023-6447
Practice Address - Country:US
Practice Address - Phone:786-304-9227
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-17
Last Update Date:2025-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL0-23-14382106E00000X
FL1-25-79053103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior Analyst