Individual
NICOLE SUZANNE MENDIZABAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2525 PONCE DE LEON BLVD STE 300, CORAL GABLES, FL 33134-6044
(786) 571-4636
Mailing address
2525 PONCE DE LEON BLVD STE 300, CORAL GABLES, FL 33134-6044
(786) 571-4636
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
106H00000X
Marriage & Family Therapist
Primary
IMT3593
FL
Other
Enumeration date
07/31/2018
Last updated
05/13/2022
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