Individual
MAYBETH BANOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
26255 SW 144TH AVE APT 412, HOMESTEAD, FL 33032-5672
(786) 205-1931
Mailing address
26255 SW 144TH AVE APT 412, HOMESTEAD, FL 33032-5672
(786) 205-1931
Taxonomy
Speciality
Code
Description
License number
State
103TP2701X
Group Psychotherapy Psychologist
Primary
B521540718221
FL
103TR0400X
Rehabilitation Psychologist
B521540718221
FL
171M00000X
Case Manager/Care Coordinator
B521540718221
FL
Other
Enumeration date
12/27/2023
Last updated
12/27/2023
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