Provider Demographics
NPI:1154009298
Name:MALHIOT, MICHAELA LYNN
Entity type:Individual
Prefix:
First Name:MICHAELA
Middle Name:LYNN
Last Name:MALHIOT
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 1:11806 ALDENDALE ST
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32836-8854
Mailing Address - Country:US
Mailing Address - Phone:407-590-9892
Mailing Address - Fax:
Practice Address - Street 1:11806 ALDENDALE ST
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32836-8854
Practice Address - Country:US
Practice Address - Phone:407-590-9892
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-10
Last Update Date:2023-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst