Provider Demographics
NPI:1659995447
Name:CMEZA, LLC
Entity Type:Organization
Organization Name:CMEZA, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BCBA/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CLAUDIA
Authorized Official - Middle Name:
Authorized Official - Last Name:VILLARI
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:727-365-5101
Mailing Address - Street 1:6487 W CASTLE PINES WAY
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85757-1503
Mailing Address - Country:US
Mailing Address - Phone:727-365-5101
Mailing Address - Fax:
Practice Address - Street 1:6487 W CASTLE PINES WAY
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85757-1503
Practice Address - Country:US
Practice Address - Phone:727-365-5101
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-08
Last Update Date:2020-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty