Provider Demographics
NPI:1780044206
Name:ESCALONA, MONICA (ITDS)
Entity Type:Individual
Prefix:
First Name:MONICA
Middle Name:
Last Name:ESCALONA
Suffix:
Gender:F
Credentials:ITDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 PARKVIEW DR
Mailing Address - Street 2:APT 811
Mailing Address - City:HALLANDALE BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33009-2978
Mailing Address - Country:US
Mailing Address - Phone:305-834-2061
Mailing Address - Fax:786-842-3218
Practice Address - Street 1:13590 SW 134TH AVE
Practice Address - Street 2:SUITE 107
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33186-4561
Practice Address - Country:US
Practice Address - Phone:786-732-6646
Practice Address - Fax:786-842-3218
Is Sole Proprietor?:No
Enumeration Date:2016-02-25
Last Update Date:2016-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist