Provider Demographics
NPI:1043032501
Name:MOSCOSO, MARIA DANIELA
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:DANIELA
Last Name:MOSCOSO
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 1:19055 BEL AIRE DR
Mailing Address - Street 2:
Mailing Address - City:CUTLER BAY
Mailing Address - State:FL
Mailing Address - Zip Code:33157-7874
Mailing Address - Country:US
Mailing Address - Phone:305-939-8899
Mailing Address - Fax:
Practice Address - Street 1:19055 BEL AIRE DR
Practice Address - Street 2:
Practice Address - City:CUTLER BAY
Practice Address - State:FL
Practice Address - Zip Code:33157-7874
Practice Address - Country:US
Practice Address - Phone:305-393-8899
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-28
Last Update Date:2024-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior Analyst