Provider Demographics
NPI:1699221911
Name:WOJCIK, MARIA
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:
Last Name:WOJCIK
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 1:10421 SW 66TH TER
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33173-1312
Mailing Address - Country:US
Mailing Address - Phone:305-319-0081
Mailing Address - Fax:
Practice Address - Street 1:10421 SW 66TH TER
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33173-1312
Practice Address - Country:US
Practice Address - Phone:305-319-0081
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-08-28
Last Update Date:2021-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL019452800Medicaid