Provider Demographics
NPI:1346802881
Name:AMARANTE, KAYLEEN SAMANTHA
Entity Type:Individual
Prefix:MRS
First Name:KAYLEEN
Middle Name:SAMANTHA
Last Name:AMARANTE
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 1:19350 BELVIEW DR
Mailing Address - Street 2:
Mailing Address - City:CUTLER BAY
Mailing Address - State:FL
Mailing Address - Zip Code:33157-7707
Mailing Address - Country:US
Mailing Address - Phone:305-527-6791
Mailing Address - Fax:
Practice Address - Street 1:19350 BELVIEW DR
Practice Address - Street 2:
Practice Address - City:CUTLER BAY
Practice Address - State:FL
Practice Address - Zip Code:33157-7707
Practice Address - Country:US
Practice Address - Phone:305-527-6791
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-07-04
Last Update Date:2021-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSZ9363235Z00000X
FLSA19098235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist