Provider Demographics
NPI:1184349714
Name:DUENAS, MAURA (MS)
Entity type:Individual
Prefix:
First Name:MAURA
Middle Name:
Last Name:DUENAS
Suffix:
Gender:
Credentials:MS
Other - Prefix:
Other - First Name:MAURA
Other - Middle Name:M
Other - Last Name:DUENAS RIVERO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:2547 OKLAHOMA ST
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33406-4207
Mailing Address - Country:US
Mailing Address - Phone:561-402-5290
Mailing Address - Fax:
Practice Address - Street 1:2547 OKLAHOMA ST
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33406-4207
Practice Address - Country:US
Practice Address - Phone:561-402-5290
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-06
Last Update Date:2025-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
FL106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health