Provider Demographics
NPI:1982590279
Name:CERDAN, MARIA MILAGROS (BA)
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:MILAGROS
Last Name:CERDAN
Suffix:
Gender:F
Credentials:BA
Other - Prefix:
Other - First Name:MARIA
Other - Middle Name:M
Other - Last Name:CERDAN-ROCHE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:BA
Mailing Address - Street 1:11800 SW 18TH ST APT 414
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33175-1661
Mailing Address - Country:US
Mailing Address - Phone:786-252-6430
Mailing Address - Fax:
Practice Address - Street 1:11800 SW 18TH ST APT 414
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33175-1661
Practice Address - Country:US
Practice Address - Phone:786-252-6430
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-14
Last Update Date:2025-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRBT-20-122687106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician