Provider Demographics
NPI:1861146813
Name:SAUME AROCHA, MAYERLING (RBT)
Entity type:Individual
Prefix:MRS
First Name:MAYERLING
Middle Name:
Last Name:SAUME AROCHA
Suffix:
Gender:F
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9281 SW 138TH PL
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33186-7877
Mailing Address - Country:US
Mailing Address - Phone:786-222-6197
Mailing Address - Fax:
Practice Address - Street 1:9281 SW 138TH PL
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33186-7877
Practice Address - Country:US
Practice Address - Phone:786-222-6197
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-08
Last Update Date:2022-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRBT-20-121693106S00000X, 106S00000X
106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL107138700Medicaid
FLS562540786450Medicaid