Healthcare Provider Details

I. General information

NPI: 1295641470
Provider Name (Legal Business Name): BARBARA ALEXANDRA KAKLIAS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/19/2026
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6261 W ATLANTIC BLVD
MARGATE FL
33063-5128
US

IV. Provider business mailing address

10788 LA PLACIDA DR APT 6
CORAL SPRINGS FL
33065-3774
US

V. Phone/Fax

Practice location:
  • Phone: 561-909-9738
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2355S0801X
TaxonomySpeech-Language Assistant
License NumberSI8560
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: