Provider Demographics
NPI:1700400785
Name:SEE, PAXTYNN ELIZABETH
Entity Type:Individual
Prefix:
First Name:PAXTYNN
Middle Name:ELIZABETH
Last Name:SEE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:PAXTYNN
Other - Middle Name:ELIZABETH
Other - Last Name:SCOTT-WILLIAMS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1500 S DOUGLAS RD STE 230
Mailing Address - Street 2:
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33134-4108
Mailing Address - Country:US
Mailing Address - Phone:844-854-1116
Mailing Address - Fax:305-846-9711
Practice Address - Street 1:44933 GEORGE WASHINGTON BLVD STE 115
Practice Address - Street 2:
Practice Address - City:ASHBURN
Practice Address - State:VA
Practice Address - Zip Code:20147-6301
Practice Address - Country:US
Practice Address - Phone:540-664-1679
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-04
Last Update Date:2020-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician