Provider Demographics
NPI:1649790023
Name:ROMERO, MARIA ANTONIETA
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:ANTONIETA
Last Name:ROMERO
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 1:2120 BAHIA LN # 2120
Mailing Address - Street 2:
Mailing Address - City:WESTON
Mailing Address - State:FL
Mailing Address - Zip Code:33327-2206
Mailing Address - Country:US
Mailing Address - Phone:954-881-8122
Mailing Address - Fax:
Practice Address - Street 1:7896 NW 110TH DR
Practice Address - Street 2:
Practice Address - City:PARKLAND
Practice Address - State:FL
Practice Address - Zip Code:33076-4721
Practice Address - Country:US
Practice Address - Phone:954-668-9859
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-26
Last Update Date:2017-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior Analyst