Kiara Suhei Perez Colmenares
Individual provider Active NPI Behavior Technician · Westchase, FL
NPI 1003389131 · NPPES record last updated Aug 21, 2019
Key facts
- NPI
- 1003389131
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 12725 Race Track Rd BLDG 5
Westchase, FL 33626-1314 - Phone
- (866) 610-0580
- NPI assigned
- Jan 11, 2019
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
12725 Race Track Rd BLDG 5
Westchase, FL 33626-1314
Mailing address
300 International Pkwy Ste 200
Lake Mary, FL 32746-5028
Phone (866) 610-0580
Other providers in Westchase, FL
- Serina Maxine Mingia
- Emily Mott
- Olivia Ashraf Wahpa Nagep
- Patrick Raymond Odonnell Jr.
- Pedro Jose Ondina-Diaz
- Prosper Infusion, Inc.
- Prosper Infusion, Inc.
- Justin Ryan Ramos
- Cassidee Jean Rentsch
- Tailyz Aaliyah Rodriguez Jimenez
All providers in Westchase, FL · Behavior Technician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 21, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.