Provider Demographics
NPI:1417369661
Name:BROMFIELD, SAKINA MARIE (MS, BCBA)
Entity Type:Individual
Prefix:
First Name:SAKINA
Middle Name:MARIE
Last Name:BROMFIELD
Suffix:
Gender:F
Credentials:MS, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 297883
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33029-7883
Mailing Address - Country:US
Mailing Address - Phone:954-249-0773
Mailing Address - Fax:954-391-8176
Practice Address - Street 1:9280 HAMMOCKS BLVD
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33196-1507
Practice Address - Country:US
Practice Address - Phone:305-752-0220
Practice Address - Fax:305-752-0405
Is Sole Proprietor?:No
Enumeration Date:2014-05-22
Last Update Date:2022-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
0199796106E00000X
FL106S00000X
12261746103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior Analyst
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician