Individual
SHAKIRA MACEDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14858 SW 58TH ST, MIAMI, FL 33193-2443
(786) 859-0837
Mailing address
14858 SW 58TH ST, MIAMI, FL 33193-2443
(786) 859-0837
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
0-23-14500
FL
106S00000X
Behavior Technician
RBT-21-169700
FL
Other
Enumeration date
06/17/2021
Last updated
05/08/2024
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