Healthcare Provider Details

I. General information

NPI: 1043089519
Provider Name (Legal Business Name): SHEILA DEUS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/26/2023
Last Update Date: 12/26/2023
Certification Date: 12/26/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9970 S. CENTRAL PARK BOULEVARD SUITE 401
BOCA RATON FL
33428
US

IV. Provider business mailing address

5824 STRAWBERRY LAKES CIR
LAKE WORTH FL
33463-6506
US

V. Phone/Fax

Practice location:
  • Phone: 305-807-1909
  • Fax:
Mailing address:
  • Phone: 954-496-4874
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: