Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 106E00000X | Assistant Behavior Analyst | ||
N | 106S00000X | Behavior Technician |
NPI | 1043705858 |
---|---|
Provider Name | Maribel Menendez Huergo |
First Address | Hialeah, FL 33014-5392 |
Second Address | Miami, FL 33186-7297 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/06/2018 |
Last Update Date | 08/07/2021 |