Obamwonyi, Kaylavictoria

Obamwonyi, Kaylavictoria is an individual health care provider with primary practice located at 4150 Ford St Ste 4 , Fort Myers FL 33916-9498. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Assistant Behavior Analyst, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist, Speech, Language and Hearing Service Providers / Speech-Language Pathologist, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Obamwonyi, Kaylavictoria can be contacted via phone (239) 291-5088.

Contact Information

Primary practice address
4150 Ford St Ste 4 Fort Myers FL 33916-9498
Phone: (239) 291-5088
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Assistant Behavior Analyst 106E00000X 0-17-8157 Florida
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist 222Q00000X
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SZ11691 Florida
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 0-21-54658 Florida

Profile Details

NPI number 1093193021
LBN Legal business name Obamwonyi, Kaylavictoria
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2015
Last updated Jan 17th, 2024 - about 2 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 1093193021 NPPES
Florida MEDICAID 100149700

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