Healthcare Provider Details

I. General information

NPI: 1205527132
Provider Name (Legal Business Name): ATENAS POU
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/19/2023
Last Update Date: 03/25/2026
Certification Date: 03/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8395 W OAKLAND PARK BLVD STE A
SUNRISE FL
33351-7301
US

IV. Provider business mailing address

845 NW 91ST TER
PLANTATION FL
33324-1164
US

V. Phone/Fax

Practice location:
  • Phone: 561-818-1367
  • Fax:
Mailing address:
  • Phone: 954-529-4612
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code247200000X
TaxonomyOther Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: