Healthcare Provider Details

I. General information

NPI: 1154771475
Provider Name (Legal Business Name): CINDY MEJIA M.ED., BCBA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/17/2016
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7236 S CENTRAL AVE
PHOENIX AZ
85042-5425
US

IV. Provider business mailing address

1211 N 74TH WAY
HOLLYWOOD FL
33024-5314
US

V. Phone/Fax

Practice location:
  • Phone: 885-772-8847
  • Fax: 248-479-4431
Mailing address:
  • Phone: 305-742-6740
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code222Q00000X
TaxonomyDevelopmental Therapist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: