Healthcare Provider Details

I. General information

NPI: 1689566572
Provider Name (Legal Business Name): EMILY NICOLE ESQUENAZI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/16/2025
Last Update Date: 07/16/2025
Certification Date: 07/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9970 CENTRAL PARK BLVD N STE 401
BOCA RATON FL
33428-2252
US

IV. Provider business mailing address

EMILYESQUE98@GMAIL.COM 6 GRAVERSHAM DRIVE
MARLBORO NJ
07746
US

V. Phone/Fax

Practice location:
  • Phone: 732-882-9293
  • Fax:
Mailing address:
  • Phone: 732-882-9293
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: