Provider Demographics
NPI:1700028255
Name:ARIZA, MARISOL (MS, LMHC, NCC, BCBA)
Entity Type:Individual
Prefix:
First Name:MARISOL
Middle Name:
Last Name:ARIZA
Suffix:
Gender:F
Credentials:MS, LMHC, NCC, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7802 NW 164TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:33016-8412
Mailing Address - Country:US
Mailing Address - Phone:786-256-1731
Mailing Address - Fax:
Practice Address - Street 1:7802 NW 164 STREET
Practice Address - Street 2:
Practice Address - City:MIAMI LAKES
Practice Address - State:FL
Practice Address - Zip Code:33016
Practice Address - Country:US
Practice Address - Phone:786-256-1731
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-03-30
Last Update Date:2022-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH 5330101YM0800X
1-22-59012103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health