Provider Demographics
NPI:1497086581
Name:HEDRICK, MONICA (LCSW, BCBA)
Entity Type:Individual
Prefix:MS
First Name:MONICA
Middle Name:
Last Name:HEDRICK
Suffix:
Gender:F
Credentials:LCSW, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1802 N ALAFAYA TRL
Mailing Address - Street 2:SUITE 158
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32826-4716
Mailing Address - Country:US
Mailing Address - Phone:407-697-6147
Mailing Address - Fax:888-661-4505
Practice Address - Street 1:1802 N ALAFAYA TRL
Practice Address - Street 2:SUITE 158
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32826-4716
Practice Address - Country:US
Practice Address - Phone:407-697-6147
Practice Address - Fax:888-661-4505
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-29
Last Update Date:2023-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1-04-1761103K00000X
FLSW 90551041C0700X
DEQ1-00122251041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst