Provider Demographics
NPI:1316736341
Name:MENENDEZ, BEATRIZ E
Entity type:Individual
Prefix:
First Name:BEATRIZ
Middle Name:E
Last Name:MENENDEZ
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11085 SW 219TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33170-3010
Mailing Address - Country:US
Mailing Address - Phone:786-877-2320
Mailing Address - Fax:
Practice Address - Street 1:11085 SW 219TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33170-3010
Practice Address - Country:US
Practice Address - Phone:786-877-2320
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-05
Last Update Date:2025-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1-25-80440103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst