Provider Demographics
NPI:1902615800
Name:CARRAZANA GUIO, BLANCA LIANNE (RBT)
Entity type:Individual
Prefix:
First Name:BLANCA
Middle Name:LIANNE
Last Name:CARRAZANA GUIO
Suffix:
Gender:F
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20650 NW 37TH CT
Mailing Address - Street 2:
Mailing Address - City:MIAMI GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33055-1161
Mailing Address - Country:US
Mailing Address - Phone:786-589-2760
Mailing Address - Fax:
Practice Address - Street 1:16470 NW 59TH AVE
Practice Address - Street 2:
Practice Address - City:MIAMI LAKES
Practice Address - State:FL
Practice Address - Zip Code:33014-5602
Practice Address - Country:US
Practice Address - Phone:305-822-8434
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-06
Last Update Date:2025-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRBT-24-382770106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician