Provider Demographics
NPI:1669039970
Name:VERDECIA, MONICA (RBT)
Entity Type:Individual
Prefix:
First Name:MONICA
Middle Name:
Last Name:VERDECIA
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 1:8808 NW 152ND TER
Mailing Address - Street 2:
Mailing Address - City:MIAMI LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:33018-1358
Mailing Address - Country:US
Mailing Address - Phone:305-333-1987
Mailing Address - Fax:
Practice Address - Street 1:8808 NW 152ND TER
Practice Address - Street 2:
Practice Address - City:MIAMI LAKES
Practice Address - State:FL
Practice Address - Zip Code:33018-1358
Practice Address - Country:US
Practice Address - Phone:305-333-1987
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-05-22
Last Update Date:2019-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRBT-19-80922106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician