Provider Demographics
NPI:1861842973
Name:BELATTI, MONICA
Entity Type:Individual
Prefix:
First Name:MONICA
Middle Name:
Last Name:BELATTI
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 1:430 VALENCIA AVE APT 14
Mailing Address - Street 2:
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33134-5739
Mailing Address - Country:US
Mailing Address - Phone:786-346-2290
Mailing Address - Fax:
Practice Address - Street 1:430 VALENCIA AVE APT 14
Practice Address - Street 2:
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33134-5739
Practice Address - Country:US
Practice Address - Phone:786-346-2290
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-06-20
Last Update Date:2018-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician