Individual
MARIELA CERCHIARI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
1387 LONG BRANCH DR, CANTONMENT, FL 32533-9207
(850) 723-3554
Mailing address
1387 LONG BRANCH DR, CANTONMENT, FL 32533-9207
(850) 723-3554
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
222Q00000X
Developmental Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C626-557-75-847-0
DRIVER'S LICENSE
FL
Enumeration date
12/06/2021
Last updated
09/16/2022
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