Healthcare Provider Details

I. General information

NPI: 1457278160
Provider Name (Legal Business Name): SCARLETT ELLEN DUNKLEY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/02/2026
Last Update Date: 07/02/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14100 PALMETTO FRNTG RD STE 101
MIAMI LAKES FL
33016-1568
US

IV. Provider business mailing address

16802 NW 83RD AVE
MIAMI LAKES FL
33016-3457
US

V. Phone/Fax

Practice location:
  • Phone: 786-502-3486
  • Fax:
Mailing address:
  • Phone: 305-542-8131
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License NumberBACB1435549
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: