Healthcare Provider Details

I. General information

NPI: 1679147318
Provider Name (Legal Business Name): SYANNE SIERRA ROWE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/17/2021
Last Update Date: 07/24/2025
Certification Date: 07/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3200 S HIAWASSEE RD STE 203
ORLANDO FL
32835-6317
US

IV. Provider business mailing address

7220 WESTPOINTE BLVD APT 1414
ORLANDO FL
32835-6510
US

V. Phone/Fax

Practice location:
  • Phone: 407-286-4031
  • Fax: 407-745-0738
Mailing address:
  • Phone: 407-873-7595
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-23-69350
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: