Healthcare Provider Details

I. General information

NPI: 1508655887
Provider Name (Legal Business Name): ERNESTINA NYARKO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/03/2025
Last Update Date: 09/26/2026
Certification Date: 09/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 COLOR PL STE 101
APOPKA FL
32703-7717
US

IV. Provider business mailing address

854 ORIENTA AVE APT B
ALTAMONTE SPRINGS FL
32701-5644
US

V. Phone/Fax

Practice location:
  • Phone: 888-754-0398
  • Fax:
Mailing address:
  • Phone: 407-541-9907
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-26-2840755
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: