Provider Demographics
NPI:1629445960
Name:TRUJILLO, EIMI MEJIA (BS, MS, BCBA)
Entity Type:Individual
Prefix:
First Name:EIMI
Middle Name:MEJIA
Last Name:TRUJILLO
Suffix:
Gender:F
Credentials:BS, MS, BCBA
Other - Prefix:
Other - First Name:EIMI
Other - Middle Name:
Other - Last Name:MEJIA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BS, MS, BCBA
Mailing Address - Street 1:8306 MILLS DR # 298
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33183-4838
Mailing Address - Country:US
Mailing Address - Phone:786-212-5530
Mailing Address - Fax:
Practice Address - Street 1:8890 SW 24TH ST STE 207
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33165-2060
Practice Address - Country:US
Practice Address - Phone:786-475-5732
Practice Address - Fax:844-455-3224
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-21
Last Update Date:2023-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1-20-42231103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst