Healthcare Provider Details

I. General information

NPI: 1821708793
Provider Name (Legal Business Name): MARIA LAURA FERREIRA FRIAS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/01/2022
Last Update Date: 04/01/2026
Certification Date: 04/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15048 14TH ST
DADE CITY FL
33523-2503
US

IV. Provider business mailing address

16936 MOSS TREE LOOP APT 109
LAND O LAKES FL
34638-0065
US

V. Phone/Fax

Practice location:
  • Phone: 352-232-8997
  • Fax:
Mailing address:
  • Phone: 813-215-1574
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License NumberBACB801923
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: