Healthcare Provider Details

I. General information

NPI: 1245089176
Provider Name (Legal Business Name): CLAUDIA MARZO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/14/2024
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5901 NW 151ST ST STE 124
MIAMI LAKES FL
33014-2454
US

IV. Provider business mailing address

13100 SW 83RD ST
MIAMI FL
33183-4318
US

V. Phone/Fax

Practice location:
  • Phone: 786-432-5099
  • Fax:
Mailing address:
  • Phone: 786-486-3864
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106E00000X
TaxonomyAssistant Behavior Analyst
License Number0-26-2827343
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: