Individual
KATHLEEN MENDEZ SHARP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
6941 SW 196TH AVE STE B29, FORT LAUDERDALE, FL 33332-1611
(954) 999-5597
(786) 597-0516
Mailing address
1339 W 49TH PL APT 306A, HIALEAH, FL 33012-8125
(305) 965-0751
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
RBT-21-174305
FL
224Z00000X
Occupational Therapy Assistant
Primary
OTA20165
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
111373000
—
FL
Enumeration date
08/23/2021
Last updated
02/12/2025
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