Mata, Maribel
Mata, Maribel is an sole proprietor health care provider with primary practice located at 1644 Mayo St , Hollywood FL 33020-6541. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Mata, Maribel can be contacted via phone (954) 249-0603.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X | RBT-20130883 | Florida |
Profile Details
| NPI number | 1659821668 |
|---|---|
| LBN Legal business name | Mata, Maribel |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 13th, 2016 |
| Last updated | Mar 29th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1659821668 | NPPES |
| Florida | MEDICAID | 018918900 |
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