Provider Demographics
NPI:1275091449
Name:UWIMANA, SYLVIE
Entity Type:Individual
Prefix:
First Name:SYLVIE
Middle Name:
Last Name:UWIMANA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 APPLE BLOSSOM DR
Mailing Address - Street 2:
Mailing Address - City:ABILENE
Mailing Address - State:TX
Mailing Address - Zip Code:79602-6006
Mailing Address - Country:US
Mailing Address - Phone:325-320-2887
Mailing Address - Fax:
Practice Address - Street 1:4601 S 14TH ST
Practice Address - Street 2:
Practice Address - City:ABILENE
Practice Address - State:TX
Practice Address - Zip Code:79605-4734
Practice Address - Country:US
Practice Address - Phone:325-669-6552
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-03-06
Last Update Date:2019-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXRBT-18-58389106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician