Healthcare Provider Details

I. General information

NPI: 1801340989
Provider Name (Legal Business Name): CECILIA CRISTINA ROMAN BCBA, FNP, PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/07/2016
Last Update Date: 05/19/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16130 SW 100TH LN
MIAMI FL
33196-6159
US

IV. Provider business mailing address

16130 SW 100TH LN
MIAMI FL
33196-6159
US

V. Phone/Fax

Practice location:
  • Phone: 786-738-4252
  • Fax:
Mailing address:
  • Phone: 786-738-4252
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPRN9213585
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberARNP9213585
License Number StateFL
# 3
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-26-89374
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: