Individual
DIANA ROSA MEJIAS PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2948 NW 180TH ST, MIAMI GARDENS, FL 33056-3483
(305) 619-4008
Mailing address
2948 NW 180TH ST, MIAMI GARDENS, FL 33056-3483
(305) 619-4008
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
RBT-20-134185
FL
172V00000X
Community Health Worker
Primary
—
FL
Other
Enumeration date
09/10/2020
Last updated
11/16/2021
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