Provider Demographics
NPI:1104600956
Name:MILIAN, MAIJHULY FELMAR
Entity type:Individual
Prefix:
First Name:MAIJHULY
Middle Name:FELMAR
Last Name:MILIAN
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 1:65821 OVERSEAS HWY LOT 24
Mailing Address - Street 2:
Mailing Address - City:LONG KEY
Mailing Address - State:FL
Mailing Address - Zip Code:33001-0006
Mailing Address - Country:US
Mailing Address - Phone:786-728-6660
Mailing Address - Fax:
Practice Address - Street 1:65821 OVERSEAS HWY LOT 24
Practice Address - Street 2:
Practice Address - City:LONG KEY
Practice Address - State:FL
Practice Address - Zip Code:33001-0006
Practice Address - Country:US
Practice Address - Phone:786-728-6660
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-22
Last Update Date:2023-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRBT-23-260814106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician