MEDICARE: MARIA Y MERAYO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106E00000X	Assistant Behavior Analyst	0-19-10701	FL
2	103K00000X	Behavior Analyst	1-21-51789	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1841859469
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARIA Y MERAYO

Provider Business Mailing Address
First Line	:	7042 W 30TH AVE
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33018-5248
Country	:	US
Telephone Number	:	786-273-5173
Fax Number	:

Provider Business Practice Location Address
First Line	:	7042 W 30TH AVE
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33018-5248
Country	:	US
Telephone Number	:	786-273-5173
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/07/2019
Last Update Date	:	08/05/2021

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Directions to “ MARIA Y MERAYO ” Practice Location

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