Healthcare Provider Details

I. General information

NPI: 1528993516
Provider Name (Legal Business Name): DIAMOND KAILYN SEARS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/12/2026
Last Update Date: 06/12/2026
Certification Date: 06/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 SW 12TH AVE
BOCA RATON FL
33486-4440
US

IV. Provider business mailing address

4146 NW 42ND PL
COCONUT CREEK FL
33073-4714
US

V. Phone/Fax

Practice location:
  • Phone: 561-881-6789
  • Fax:
Mailing address:
  • Phone:
  • 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: