Provider Demographics
NPI:1629541438
Name:MERISSAINT, REBIRTHA (RBT)
Entity Type:Individual
Prefix:
First Name:REBIRTHA
Middle Name:
Last Name:MERISSAINT
Suffix:
Gender:F
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7045 WILLOWWOOD ST
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32818-5855
Mailing Address - Country:US
Mailing Address - Phone:407-818-5814
Mailing Address - Fax:
Practice Address - Street 1:7045 WILLOWWOOD ST
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32818-5855
Practice Address - Country:US
Practice Address - Phone:407-818-5814
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-01-03
Last Update Date:2019-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician