Provider Demographics
NPI:1447123203
Name:MONASTERIOS VIVAS, JOANA LISBETH
Entity type:Individual
Prefix:
First Name:JOANA
Middle Name:LISBETH
Last Name:MONASTERIOS VIVAS
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 1:4230 VINEYARD CIR
Mailing Address - Street 2:
Mailing Address - City:WESTON
Mailing Address - State:FL
Mailing Address - Zip Code:33332-2153
Mailing Address - Country:US
Mailing Address - Phone:954-470-3666
Mailing Address - Fax:
Practice Address - Street 1:4230 VINEYARD CIR
Practice Address - Street 2:
Practice Address - City:WESTON
Practice Address - State:FL
Practice Address - Zip Code:33332-2153
Practice Address - Country:US
Practice Address - Phone:954-470-3666
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-27
Last Update Date:2025-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician