Provider Demographics
NPI:1780497768
Name:GARRIDO PICOLA, MIREIA
Entity type:Individual
Prefix:MS
First Name:MIREIA
Middle Name:
Last Name:GARRIDO PICOLA
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 1:15263 SW 9TH WAY
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33194-2721
Mailing Address - Country:US
Mailing Address - Phone:786-929-3016
Mailing Address - Fax:
Practice Address - Street 1:15263 SW 9TH WAY
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33194-2721
Practice Address - Country:US
Practice Address - Phone:786-929-3016
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-31
Last Update Date:2025-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRBT-24-325225106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician