Provider Demographics
NPI:1306054226
Name:ARAZOZA, CAROLINA (CNA)
Entity type:Individual
Prefix:MRS
First Name:CAROLINA
Middle Name:
Last Name:ARAZOZA
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:740 NE 199TH ST APT 106G
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33179-3069
Mailing Address - Country:US
Mailing Address - Phone:786-325-3114
Mailing Address - Fax:305-623-3235
Practice Address - Street 1:740 NE 199TH ST APT 106G
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33179-3069
Practice Address - Country:US
Practice Address - Phone:786-325-3114
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-21
Last Update Date:2017-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior Analyst
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL689297398Medicaid
FL689297396Medicaid