Healthcare Provider Details

I. General information

NPI: 1194297754
Provider Name (Legal Business Name): LAKEVA HAYMON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/20/2018
Last Update Date: 12/07/2025
Certification Date: 04/11/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

850 NW 84TH ST
MIAMI FL
33150-2518
US

IV. Provider business mailing address

850 NW 84TH ST
MIAMI FL
33150-2518
US

V. Phone/Fax

Practice location:
  • Phone: 786-682-9924
  • Fax:
Mailing address:
  • Phone: 786-682-9924
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: