Provider Demographics
NPI:1467923235
Name:PRADO, HAYDEE
Entity Type:Individual
Prefix:
First Name:HAYDEE
Middle Name:
Last Name:PRADO
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 1:1355 W OKEECHOBEE RD APT 104
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33010-2804
Mailing Address - Country:US
Mailing Address - Phone:786-830-9399
Mailing Address - Fax:
Practice Address - Street 1:1355 W OKEECHOBEE RD APT 104
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33010-2804
Practice Address - Country:US
Practice Address - Phone:786-830-9399
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-12-05
Last Update Date:2018-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst