Healthcare Provider Details

I. General information

NPI: 1891663126
Provider Name (Legal Business Name): KIARRAH Q STOKES
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/28/2025
Last Update Date: 10/28/2025
Certification Date: 10/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2800 WESTON RD STE 100
WESTON FL
33331-3638
US

IV. Provider business mailing address

445 SW 27TH AVE APT 209
FORT LAUDERDALE FL
33312-2056
US

V. Phone/Fax

Practice location:
  • Phone: 786-505-4449
  • Fax: 786-667-3733
Mailing address:
  • Phone: 786-505-4449
  • Fax: 786-667-3733

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: