Provider Demographics
NPI:1912429960
Name:VILLAFANA ABRAHAM, MEI-LING
Entity Type:Individual
Prefix:
First Name:MEI-LING
Middle Name:
Last Name:VILLAFANA ABRAHAM
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 1:3500 CORAL WAY APT 713
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33145-3065
Mailing Address - Country:US
Mailing Address - Phone:786-546-6969
Mailing Address - Fax:
Practice Address - Street 1:3500 CORAL WAY APT 713
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33145-3065
Practice Address - Country:US
Practice Address - Phone:786-546-6969
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-07-12
Last Update Date:2021-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL0-21-12821106E00000X
103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
Yes106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior Analyst