Healthcare Provider Details

I. General information

NPI: 1528658572
Provider Name (Legal Business Name): MAYA JOY BURTON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/24/2021
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2564 W 72ND PL
HIALEAH FL
33016-6507
US

IV. Provider business mailing address

2901 NE 1ST AVE APT 1011
MIAMI FL
33137-5324
US

V. Phone/Fax

Practice location:
  • Phone: 786-334-3125
  • Fax:
Mailing address:
  • Phone: 404-550-7875
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: