Provider Demographics
NPI:1952913170
Name:MONESSATI DRIKHA, SONIA MARIA
Entity Type:Individual
Prefix:
First Name:SONIA
Middle Name:MARIA
Last Name:MONESSATI DRIKHA
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 1:15965 NW 91ST CT
Mailing Address - Street 2:
Mailing Address - City:MIAMI LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:33018-6362
Mailing Address - Country:US
Mailing Address - Phone:786-223-0713
Mailing Address - Fax:
Practice Address - Street 1:15965 NW 91ST CT
Practice Address - Street 2:
Practice Address - City:MIAMI LAKES
Practice Address - State:FL
Practice Address - Zip Code:33018-6362
Practice Address - Country:US
Practice Address - Phone:786-223-0713
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-19
Last Update Date:2020-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
106S00000X
FL106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician