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Individual
MR. HUMBERTO MENA
Active
Individual
MR. HUMBERTO MENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSC, LMHC, BCBA
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
MH14969
FL
103K00000X
Behavior Analyst
Primary
BCBA1-16-22872
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
017914800
—
FL
Enumeration date
10/25/2011
Last updated
06/12/2019
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