Provider Demographics
NPI:1104361104
Name:APARCEDO, MAYERLING
Entity Type:Individual
Prefix:
First Name:MAYERLING
Middle Name:
Last Name:APARCEDO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14335 SW 120TH ST
Mailing Address - Street 2:201
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33186-7294
Mailing Address - Country:US
Mailing Address - Phone:305-967-8074
Mailing Address - Fax:305-967-8302
Practice Address - Street 1:14335 SW 120TH ST
Practice Address - Street 2:201
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33186-7294
Practice Address - Country:US
Practice Address - Phone:305-967-8074
Practice Address - Fax:305-967-8302
Is Sole Proprietor?:No
Enumeration Date:2016-12-29
Last Update Date:2016-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician