Healthcare Provider Details

I. General information

NPI: 1245761329
Provider Name (Legal Business Name): BELQUIS SOSA GARCIA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/21/2017
Last Update Date: 03/13/2026
Certification Date: 03/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1006 W 41ST ST
HIALEAH FL
33012-7248
US

IV. Provider business mailing address

1006 W 41ST ST
HIALEAH FL
33012-7248
US

V. Phone/Fax

Practice location:
  • Phone: 305-609-0491
  • Fax:
Mailing address:
  • Phone: 305-609-0491
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106E00000X
TaxonomyAssistant Behavior Analyst
License Number0-21-11842
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: