Provider Demographics
NPI:1013897263
Name:CATALA RUISANCHEZ, MAYBEL
Entity type:Individual
Prefix:
First Name:MAYBEL
Middle Name:
Last Name:CATALA RUISANCHEZ
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 1:940 NW 44TH AVE APT 211
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33126-3551
Mailing Address - Country:US
Mailing Address - Phone:305-391-0174
Mailing Address - Fax:
Practice Address - Street 1:11440 SW 220TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33170-2918
Practice Address - Country:US
Practice Address - Phone:305-391-0174
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-06
Last Update Date:2025-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRBT-25-458728106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician