Garcia De Porto, Marieta

Garcia De Porto, Marieta is an sole proprietor health care provider with primary practice located at 15920 Sw 252Nd St , Homestead FL 33031-2000. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Garcia De Porto, Marieta can be contacted via phone (786) 385-9838.

Contact Information

Primary practice address
15920 Sw 252Nd St Homestead FL 33031-2000
Phone: (786) 385-9838
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X IMH7263 Florida
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MH10659 Florida
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-20-40527 Florida

Profile Details

NPI number 1497761480
LBN Legal business name Garcia De Porto, Marieta
Credentials LMHC, BCBA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 31st, 2006
Last updated Nov 14th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497761480 NPPES
Florida MEDICAID 015679500
Florida MEDICAID 767569100
Florida MEDICAID 105573500

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