Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 106S00000X | Behavior Technician |
NPI | 1003321027 |
---|---|
Provider Name | Maura Morales |
First Address | Miami Gardens, FL 33056-3412 |
Second Address | Miami Gardens, FL 33056-3412 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/12/2017 |
Last Update Date | 13/12/2017 |