Provider Demographics
NPI:1619426921
Name:MOTONDO, ARMINDA MARIBEL
Entity Type:Individual
Prefix:
First Name:ARMINDA
Middle Name:MARIBEL
Last Name:MOTONDO
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 1:10500 SHORE FRONT PKWY APT 2P
Mailing Address - Street 2:
Mailing Address - City:ROCKAWAY PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11694-2703
Mailing Address - Country:US
Mailing Address - Phone:347-831-7159
Mailing Address - Fax:
Practice Address - Street 1:10500 SHORE FRONT PKWY APT 2P
Practice Address - Street 2:
Practice Address - City:ROCKAWAY PARK
Practice Address - State:NY
Practice Address - Zip Code:11694-2703
Practice Address - Country:US
Practice Address - Phone:347-831-7159
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-27
Last Update Date:2016-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst