La O, Marielis

La O, Marielis is an individual health care provider with primary practice located at 15136 Sw 63Rd , Miami FL 33193-2052. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Assistant Behavior Analyst, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. La O, Marielis can be contacted via phone (786) 253-2434.

Contact Information

Primary practice address
15136 Sw 63Rd Miami FL 33193-2052
Phone: (786) 253-2434
Fax: (305) 643-1345
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X Florida
Behavioral Health & Social Service Providers / Social Worker 104100000X
Behavioral Health & Social Service Providers / Assistant Behavior Analyst 106E00000X Florida
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X

Profile Details

NPI number 1114172202
LBN Legal business name La O, Marielis
Credentials BCBA
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 18th, 2008
Last updated Jun 3rd, 2021 - about 5 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 1114172202 NPPES
Florida MEDICAID 017915400

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