Provider Demographics
NPI:1609587898
Name:CHUEY, SARAILYN
Entity Type:Individual
Prefix:
First Name:SARAILYN
Middle Name:
Last Name:CHUEY
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 1:312 S OLD DIXIE HWY STE 202
Mailing Address - Street 2:
Mailing Address - City:JUPITER
Mailing Address - State:FL
Mailing Address - Zip Code:33458-7489
Mailing Address - Country:US
Mailing Address - Phone:786-560-8559
Mailing Address - Fax:
Practice Address - Street 1:312 S OLD DIXIE HWY STE 202
Practice Address - Street 2:
Practice Address - City:JUPITER
Practice Address - State:FL
Practice Address - Zip Code:33458-7489
Practice Address - Country:US
Practice Address - Phone:786-560-8559
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-12-08
Last Update Date:2022-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLC215780742550106E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior Analyst