Healthcare Provider Details

I. General information

NPI: 1346018876
Provider Name (Legal Business Name): STEPFANNY CAROLINA DURAN LEMUS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/14/2023
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17121 NE 6TH AVE
NORTH MIAMI BEACH FL
33162-2008
US

IV. Provider business mailing address

3055 NE 190TH ST APT 202
AVENTURA FL
33180-3191
US

V. Phone/Fax

Practice location:
  • Phone: 786-955-6224
  • Fax:
Mailing address:
  • Phone: 786-630-0612
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: