Provider Demographics
NPI:1487440723
Name:MEJIA, ADELA ALEXANDRA
Entity type:Individual
Prefix:
First Name:ADELA
Middle Name:ALEXANDRA
Last Name:MEJIA
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 1:10460 SW 164TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33157-3003
Mailing Address - Country:US
Mailing Address - Phone:786-355-8705
Mailing Address - Fax:
Practice Address - Street 1:10460 SW 164TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33157-3003
Practice Address - Country:US
Practice Address - Phone:786-355-8705
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-15
Last Update Date:2025-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician