Isabella Fanous

Primary specialty

Speech-Language AssistantTaxonomy code 2355S0801X

License

SI7786 Issued in FL

Practice address

6055 NW 104TH Ave Ste 2
Doral, FL 33178-4867

Phone

(786) 374-7412

NPI assigned

Aug 3, 2023

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• DS Therapies

  • Behavior Analyst
  • Doral, FL
  • NPI 1265073639
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1691020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742256000000",
    "number": "1346922911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6055 NW 104TH AVE STE 2",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331784867",
            "telephone_number": "786-374-7412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6055 NW 104TH AVE STE 2",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331784867",
            "telephone_number": "786-374-7412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FANOUS",
        "first_name": "ISABELLA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-03",
        "last_updated": "2025-03-18",
        "certification_date": "2025-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "FL",
            "license": "SI7786",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Family Medical Clinic, LLC
• Family Medical Group Doral LLC
• Family Mental Health Corp
• Family Trust Home Health Care, Inc.
• Angela Z. Fandino, M.D.
• Fast X-Ray Portable Inc
• Ali Fathollahi, M.D.
• FDG Home Health Agency, Inc.
• Fe Medical Equipment Corp
• Astrid A. Febre, M.D.

• Speech-Language Assistant in Doral, FL
• Providers in Doral, FL by specialty
• Speech-Language Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.