Healthcare Provider Details

I. General information

NPI: 1285413427
Provider Name (Legal Business Name): LAURA MEJIAS ROJAS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/27/2023
Last Update Date: 09/27/2023
Certification Date: 09/27/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3256R SW 25TH ST
MIAMI FL
33133-2016
US

IV. Provider business mailing address

3256R SW 25TH ST
MIAMI FL
33133-2016
US

V. Phone/Fax

Practice location:
  • Phone: 305-742-7343
  • Fax:
Mailing address:
  • Phone: 305-742-7343
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT23-300022
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: