Healthcare Provider Details

I. General information

NPI: 1619654423
Provider Name (Legal Business Name): MONICA MORALES ZALDIVAR
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/03/2023
Last Update Date: 05/26/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2000 N CONGRESS AVE LOT 102
WEST PALM BEACH FL
33409-6336
US

IV. Provider business mailing address

2000 N CONGRESS AVE LOT 102
WEST PALM BEACH FL
33409-6336
US

V. Phone/Fax

Practice location:
  • Phone: 201-417-8451
  • Fax:
Mailing address:
  • Phone: 201-417-8451
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License NumberBACB949000
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: