=====================================================
General NPI Number Information
=====================================================
NPI Number | 1710831235
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | SUMAYYA GHALAINI
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/23/2026
-----------------------------------------------------
Last Update Date | 02/23/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1851 NE 128TH CT
-----------------------------------------------------
City | WILLISTON
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 32696-8229
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 413-417-4813
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1851 NE 128TH CT
-----------------------------------------------------
City | WILLISTON
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 32696-8229
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 413-417-4813
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 106S00000X
-----------------------------------------------------
Taxonomy Name | Behavior Technician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------