Provider Demographics
NPI:1427537190
Name:DE LA PAZ FLORAT, HELEN
Entity Type:Individual
Prefix:
First Name:HELEN
Middle Name:
Last Name:DE LA PAZ FLORAT
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 1:4420 NW 79TH AVE APT 1E
Mailing Address - Street 2:
Mailing Address - City:DORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33166-6323
Mailing Address - Country:US
Mailing Address - Phone:305-783-9150
Mailing Address - Fax:
Practice Address - Street 1:4420 NW 79TH AVE APT 1E
Practice Address - Street 2:
Practice Address - City:DORAL
Practice Address - State:FL
Practice Address - Zip Code:33166-6323
Practice Address - Country:US
Practice Address - Phone:305-783-9150
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-13
Last Update Date:2023-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1-23-69100103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty