Healthcare Provider Details

I. General information

NPI: 1740792373
Provider Name (Legal Business Name): MARIA ALEJANDRA MEJIA BCBA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/05/2017
Last Update Date: 03/27/2023
Certification Date: 03/27/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8950 SW 69TH CT APT 207
MIAMI FL
33156-1603
US

IV. Provider business mailing address

15936 SW 92ND AVE
PALMETTO BAY FL
33157-1842
US

V. Phone/Fax

Practice location:
  • Phone: 305-748-1343
  • Fax:
Mailing address:
  • Phone: 305-748-1343
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-18-32404
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: