Provider Demographics
NPI:1376258053
Name:KYI, AYE SUU
Entity Type:Individual
Prefix:
First Name:AYE
Middle Name:SUU
Last Name:KYI
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 1:1001 E LOTUS AVE
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33612-8140
Mailing Address - Country:US
Mailing Address - Phone:813-454-7059
Mailing Address - Fax:
Practice Address - Street 1:1001 E LOTUS AVE
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33612-8140
Practice Address - Country:US
Practice Address - Phone:813-454-7059
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-17
Last Update Date:2023-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician