Provider Demographics
NPI:1851742993
Name:VERDECIA, KARINA
Entity Type:Individual
Prefix:
First Name:KARINA
Middle Name:
Last Name:VERDECIA
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 1:26005 SW 144TH AVE APT 125
Mailing Address - Street 2:
Mailing Address - City:HOMESTEAD
Mailing Address - State:FL
Mailing Address - Zip Code:33032-5649
Mailing Address - Country:US
Mailing Address - Phone:786-357-4515
Mailing Address - Fax:
Practice Address - Street 1:26005 SW 144TH AVE APT 125
Practice Address - Street 2:
Practice Address - City:HOMESTEAD
Practice Address - State:FL
Practice Address - Zip Code:33032-5649
Practice Address - Country:US
Practice Address - Phone:786-357-4515
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-30
Last Update Date:2016-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst