| Provider / Organization | NPI | Date Certified |
|---|---|---|
| SAMANTHA JOANN MALDONADO | 1255900999 | 2022-07-30 |
Samantha Joann Maldonado is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1255900999. Registration indicates Samantha Joann Maldonado is a provider of services with a specialization in Behavioral Health & Social Service Providers, Behavior Technician (Behavior Technician, Behavioral Health & Social Service Providers) (Behavior Technician, )
| Entity Type | Individual |
| Provider Name | Samantha Joann Maldonado |
| Practice Office Address | 13195 SW 134TH ST STE 201 MIAMI, FL US |
| Practice Office Telephone | 7862066500 |
| Mailing Address | 13195 SW 134TH ST STE 201 MIAMI, FL 331864585 US |
| Business Telephone | 7862066500 |
| Address | City / State | Phone / Fax |
|---|---|---|
| 8785 SW 165th Ave Ste 104 | Miami, FL 331935827 | 7862066500 |
| 8001 SW 36th St Ste 9 | Davie, FL 333281915 | 9545777790 |
| Code | Practice | License No State |
|---|---|---|
| 106S00000X PRIMARY | Behavioral Health & Social Service Providers Behavior Technician Behavior Technician Behavioral Health & Social Service Providers Behavior Technician |