Provider Demographics
NPI:1003266214
Name:DEGARMO SESIN, PAULA
Entity Type:Individual
Prefix:MRS
First Name:PAULA
Middle Name:
Last Name:DEGARMO SESIN
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:PAULA
Other - Middle Name:
Other - Last Name:DEGARMO SORICA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:151 N NOB HILL RD STE 113
Mailing Address - Street 2:
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33324-1708
Mailing Address - Country:US
Mailing Address - Phone:954-248-0184
Mailing Address - Fax:
Practice Address - Street 1:1016 S 24TH TER
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33020-5870
Practice Address - Country:US
Practice Address - Phone:954-248-0184
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-06-18
Last Update Date:2023-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other