Provider Demographics
NPI:1487895884
Name:BEZI, CECILIA
Entity type:Individual
Prefix:
First Name:CECILIA
Middle Name:
Last Name:BEZI
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 1:800 WEST AVE
Mailing Address - Street 2:# 603
Mailing Address - City:MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33139-5542
Mailing Address - Country:US
Mailing Address - Phone:786-624-0559
Mailing Address - Fax:
Practice Address - Street 1:800 WEST AVE
Practice Address - Street 2:# 603
Practice Address - City:MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33139-5542
Practice Address - Country:US
Practice Address - Phone:786-624-0559
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-13
Last Update Date:2009-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1-07-3460103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst