Provider Demographics
NPI:1982434247
Name:MIGLIARA, EMMA
Entity type:Individual
Prefix:
First Name:EMMA
Middle Name:
Last Name:MIGLIARA
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 1:870 QUAYE LAKE CIR APT 111
Mailing Address - Street 2:
Mailing Address - City:WELLINGTON
Mailing Address - State:FL
Mailing Address - Zip Code:33411-5040
Mailing Address - Country:US
Mailing Address - Phone:561-377-2099
Mailing Address - Fax:561-816-6568
Practice Address - Street 1:870 QUAYE LAKE CIR APT 111
Practice Address - Street 2:
Practice Address - City:WELLINGTON
Practice Address - State:FL
Practice Address - Zip Code:33411-5040
Practice Address - Country:US
Practice Address - Phone:561-377-2099
Practice Address - Fax:561-816-6568
Is Sole Proprietor?:No
Enumeration Date:2024-08-02
Last Update Date:2024-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRBT-24-363421106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician