Provider Demographics
NPI:1720716889
Name:PINEDA CARDENAS, MISBEL LIANET
Entity type:Individual
Prefix:
First Name:MISBEL
Middle Name:LIANET
Last Name:PINEDA CARDENAS
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 1:3745 HILL ST
Mailing Address - Street 2:
Mailing Address - City:LAKELAND
Mailing Address - State:FL
Mailing Address - Zip Code:33812-4338
Mailing Address - Country:US
Mailing Address - Phone:863-535-9636
Mailing Address - Fax:
Practice Address - Street 1:3745 HILL ST
Practice Address - Street 2:
Practice Address - City:LAKELAND
Practice Address - State:FL
Practice Address - Zip Code:33812-4338
Practice Address - Country:US
Practice Address - Phone:863-535-9636
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-08
Last Update Date:2022-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRBT22-228323103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst