Fayula Sarmientos, Yairsa

Fayula Sarmientos, Yairsa is an sole proprietor health care provider with primary practice located at 1051 Nw 45Th St , Fort Lauderdale FL 33309-3822. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Assistant Behavior Analyst, Behavioral Health & Social Service Providers / Behavior Technician, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Fayula Sarmientos, Yairsa can be contacted via phone (786) 702-7484.

Contact Information

Primary practice address
1051 Nw 45Th St Fort Lauderdale FL 33309-3822
Phone: (786) 702-7484
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Assistant Behavior Analyst 106E00000X 0-21-12166 Florida
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-23-66392 Florida

Profile Details

NPI number 1659801777
LBN Legal business name Fayula Sarmientos, Yairsa
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 13th, 2017
Last updated Jun 22nd, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659801777 NPPES
Florida MEDICAID 670412

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