Provider Demographics
NPI:1538978432
Name:JUSTO, CLAUDIA MARIA
Entity type:Individual
Prefix:MISS
First Name:CLAUDIA
Middle Name:MARIA
Last Name:JUSTO
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 1:1773 SW 131ST PLACE CIR S
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33175-1262
Mailing Address - Country:US
Mailing Address - Phone:305-939-3862
Mailing Address - Fax:
Practice Address - Street 1:1773 SW 131ST PLACE CIR S
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33175-1262
Practice Address - Country:US
Practice Address - Phone:305-939-3862
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-06
Last Update Date:2025-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL24-402177106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician