Healthcare Provider Details

I. General information

NPI: 1144911215
Provider Name (Legal Business Name): ONYII CYNTHIA OGUINE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ONYINYECHI CYNTHIA OGUINE

II. Dates (important events)

Enumeration Date: 05/18/2023
Last Update Date: 10/21/2024
Certification Date: 10/21/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12515 SHIREBROOK CT
TAMPA FL
33626-4504
US

IV. Provider business mailing address

12515 SHIREBROOK CT
TAMPA FL
33626-4504
US

V. Phone/Fax

Practice location:
  • Phone: 813-951-6497
  • Fax:
Mailing address:
  • Phone: 813-951-6497
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106E00000X
TaxonomyAssistant Behavior Analyst
License Number0-24-15585
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: