Healthcare Provider Details

I. General information

NPI: 1801311618
Provider Name (Legal Business Name): SABRINA DEUS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/14/2017
Last Update Date: 03/02/2020
Certification Date: 03/02/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16201 NE 13TH AVE
NORTH MIAMI BEACH FL
33162-4607
US

IV. Provider business mailing address

11601 BISCAYNE BLVD STE 310
MIAMI FL
33181-3151
US

V. Phone/Fax

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

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number19-106756
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: