Individual
SHEENA EIZMENDIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C.HT, C.S.M.C.
Contact information
Practice address
7600 RED RD STE 129, SOUTH MIAMI, FL 33143-5421
(305) 275-0707
Mailing address
7600 RED RD STE 129, SOUTH MIAMI, FL 33143-5421
(305) 275-0707
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
408078-4
FL
103K00000X
Behavior Analyst
408078-4
FL
174H00000X
Health Educator
Primary
408078-4
FL
Other
Enumeration date
12/28/2009
Last updated
12/28/2009
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