Molina Mutiz, Iris Altagracia

Molina Mutiz, Iris Altagracia is an sole proprietor health care provider with primary practice located at 7473 Sw 82Nd St Apt A312 , Miami FL 33143-7353. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Assistant Behavior Analyst, Behavioral Health & Social Service Providers / Behavior Technician, Other Service Providers / Case Manager/Care Coordinator. Behavioral Health & Social Service Providers / Assistant Behavior Analyst is her primary health care specialty. Molina Mutiz, Iris Altagracia can be contacted via phone (786) 867-4376.

Contact Information

Primary practice address
7473 Sw 82Nd St Apt A312 Miami FL 33143-7353
Phone: (786) 867-4376
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Assistant Behavior Analyst 106E00000X 0-19-9759 Florida
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X RBT-18-60572 Florida
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1851756464
LBN Legal business name Molina Mutiz, Iris Altagracia
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 24th, 2015
Last updated Jun 19th, 2019 - about 7 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 1851756464 NPPES
Florida MEDICAID 31224695

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