Provider Demographics
NPI:1972124139
Name:DUARTE, ZAIRA CAROLINA (BCBA)
Entity type:Individual
Prefix:
First Name:ZAIRA
Middle Name:CAROLINA
Last Name:DUARTE
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13424 SW 90TH TER
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33186-1573
Mailing Address - Country:US
Mailing Address - Phone:786-308-6353
Mailing Address - Fax:
Practice Address - Street 1:13424 SW 90TH TER
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33186-1573
Practice Address - Country:US
Practice Address - Phone:786-308-6353
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-04-29
Last Update Date:2020-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst