Provider Demographics
NPI:1104795111
Name:GODOY ROJAS, MARIA KLAUDIA
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:KLAUDIA
Last Name:GODOY ROJAS
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 1:1506 NORMANDY HEIGHTS BLVD
Mailing Address - Street 2:
Mailing Address - City:WINTER HAVEN
Mailing Address - State:FL
Mailing Address - Zip Code:33880-5312
Mailing Address - Country:US
Mailing Address - Phone:863-335-2989
Mailing Address - Fax:
Practice Address - Street 1:1506 NORMANDY HEIGHTS BLVD
Practice Address - Street 2:
Practice Address - City:WINTER HAVEN
Practice Address - State:FL
Practice Address - Zip Code:33880-5312
Practice Address - Country:US
Practice Address - Phone:863-335-2989
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-10-30
Last Update Date:2025-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRBT-25-484633106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician