Provider Demographics
NPI:1528570306
Name:CALZADA, MAIDA (BEHAVIOR TECHNICIAN)
Entity Type:Individual
Prefix:MS
First Name:MAIDA
Middle Name:
Last Name:CALZADA
Suffix:
Gender:F
Credentials:BEHAVIOR TECHNICIAN
Other - Prefix:MS
Other - First Name:MAIDA
Other - Middle Name:
Other - Last Name:CALZADA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:BEHAVIOR TEHNICIAN
Mailing Address - Street 1:3536 NW 18TH TER
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33125-1010
Mailing Address - Country:US
Mailing Address - Phone:786-337-0944
Mailing Address - Fax:
Practice Address - Street 1:3536 NW 18TH TER
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33125-1010
Practice Address - Country:US
Practice Address - Phone:786-337-0944
Practice Address - Fax:786-337-0944
Is Sole Proprietor?:Yes
Enumeration Date:2017-11-01
Last Update Date:2017-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician