Individual
MAYBETH BANOS
Active
Individual
MAYBETH BANOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
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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