Healthcare Provider Details

I. General information

NPI: 1700587706
Provider Name (Legal Business Name): MARIA EDITH HEILIG
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/15/2023
Last Update Date: 07/30/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6886 INTEGRA COVE BLVD APT 101
ORLANDO FL
32821-8924
US

IV. Provider business mailing address

6886 INTEGRA COVE BLVD APT 101
ORLANDO FL
32821-8924
US

V. Phone/Fax

Practice location:
  • Phone: 954-310-4553
  • Fax:
Mailing address:
  • Phone: 954-310-4553
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-24-72110
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: