Individual
MISS ELAIME MACIQUES RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MASTER
Contact information
Practice address
11500 QUAIL ROOST DR, CUTLER BAY, FL 33157-6548
(786) 838-7523
Mailing address
10055 SW 222ND ST, CUTLER BAY, FL 33190-1564
(786) 838-7523
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
BT-20-119557
FL
222Q00000X
Developmental Therapist
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106484200
—
FL
Enumeration date
03/18/2021
Last updated
11/18/2022
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