Individual
MRS. CRISTINA MOUSSAWEL MEDINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7232 SW 39TH TER, MIAMI, FL 33155-6624
(305) 431-7224
Mailing address
1542 SW 137TH CT, MIAMI, FL 33184-2723
(305) 431-7224
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-17-25466
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
019723000
—
FL
Enumeration date
05/27/2011
Last updated
02/15/2023
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