Provider Demographics
NPI:1730676883
Name:FURQUET INFANTE, NAYLA (BEHAVIOR ASSISTANT)
Entity Type:Individual
Prefix:
First Name:NAYLA
Middle Name:
Last Name:FURQUET INFANTE
Suffix:
Gender:F
Credentials:BEHAVIOR ASSISTANT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11865 SW 185TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33177-3264
Mailing Address - Country:US
Mailing Address - Phone:786-506-6892
Mailing Address - Fax:
Practice Address - Street 1:11865 SW 185TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33177-3264
Practice Address - Country:US
Practice Address - Phone:786-506-6892
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-15
Last Update Date:2021-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL021113800Medicaid