Individual
MRS. DESIREE MAHIQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ED.S., NCSP, BCBA
Contact information
Practice address
9040 TOWN CENTER PKWY, LAKEWOOD RANCH, FL 34202-4101
(941) 877-0284
Mailing address
9040 TOWN CENTER PKWY, LAKEWOOD RANCH, FL 34202-4101
(941) 877-0284
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
SS1463
FL
Other
Enumeration date
03/09/2026
Last updated
03/09/2026
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