Sheyla Afonso

Individual provider Active NPI Behavior Technician · Palm City, FL

NPI 1902499478 · NPPES record last updated Jun 4, 2024

Key facts

NPI
1902499478
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
License
RBT-20-147830 (FL)
Practice address
1532 SW Mapp Rd
Palm City, FL 34990-2446
Phone
(772) 678-6704
NPI assigned
Feb 16, 2021
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
RBT-20-147830FLMDBehavior Technician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-20-147830 FL Yes

Addresses

Primary practice location

1532 SW Mapp Rd
Palm City, FL 34990-2446

Mailing address

17234 NW 48TH Ave
Miami Gardens, FL 33055-4211
Phone (786) 315-3533

Other identifiers

IdentifierTypeStateIssuer
109596200MedicaidFL

Other providers in Palm City, FL

All providers in Palm City, FL · Behavior Technician in Florida

Sources for this page

Verify at the official NPI Registry.