Provider Demographics
NPI:1982404307
Name:BARCELO MONTES, MITZA
Entity type:Individual
Prefix:
First Name:MITZA
Middle Name:
Last Name:BARCELO MONTES
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 1:1911 GATEWOOD DR
Mailing Address - Street 2:
Mailing Address - City:DELTONA
Mailing Address - State:FL
Mailing Address - Zip Code:32738-4209
Mailing Address - Country:US
Mailing Address - Phone:305-333-0683
Mailing Address - Fax:
Practice Address - Street 1:1911 GATEWOOD DR
Practice Address - Street 2:
Practice Address - City:DELTONA
Practice Address - State:FL
Practice Address - Zip Code:32738-4209
Practice Address - Country:US
Practice Address - Phone:305-333-0683
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-14
Last Update Date:2025-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician