Rosio Meneses Moreno
Individual provider Active NPI Behavior Technician · Haverhill, FL
NPI 1023849296 · NPPES record last updated Aug 9, 2024
Key facts
- NPI
- 1023849296
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- License
- M522-720-03-560-0 (FL)
- Practice address
- 5210 Club Rd
Haverhill, FL 33415-1229 - Phone
- (561) 913-9364
- NPI assigned
- Aug 9, 2024
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | M522-720-03-560-0 | FL | Yes |
Addresses
Primary practice location
5210 Club Rd
Haverhill, FL 33415-1229
Mailing address
5210 Club Rd
Haverhill, FL 33415-1229
Phone (561) 913-9364
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All providers in Haverhill, FL · Behavior Technician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 9, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.