Healthcare Provider Details

I. General information

NPI: 1588540157
Provider Name (Legal Business Name): ERIKA BUZARQUIS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/11/2025
Last Update Date: 08/19/2025
Certification Date: 08/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

931 VILLAGE BLVD STE 905
WEST PALM BEACH FL
33409-1804
US

IV. Provider business mailing address

931 VILLAGE BLVD STE 905358
WEST PALM BEACH FL
33409-1803
US

V. Phone/Fax

Practice location:
  • Phone: 305-332-7123
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number25-422138
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: