Healthcare Provider Details

I. General information

NPI: 1104761428
Provider Name (Legal Business Name): SENDY YEMINAH TOUSSAINT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/22/2026
Last Update Date: 04/22/2026
Certification Date: 04/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19221 NE 10TH AVE
MIAMI FL
33179-5902
US

IV. Provider business mailing address

19221 NE 10TH AVE
MIAMI FL
33179-5902
US

V. Phone/Fax

Practice location:
  • Phone: 786-849-0100
  • Fax:
Mailing address:
  • Phone: 786-849-0100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License NumberRBT-25-499950
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: