Provider Demographics
NPI:1790133601
Name:NEGRIN, ODAIMY
Entity Type:Individual
Prefix:
First Name:ODAIMY
Middle Name:
Last Name:NEGRIN
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 1:4337 W 11TH LN
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33012-7714
Mailing Address - Country:US
Mailing Address - Phone:786-597-6004
Mailing Address - Fax:
Practice Address - Street 1:4337 W 11TH LN
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33012-7714
Practice Address - Country:US
Practice Address - Phone:786-597-6004
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-06-01
Last Update Date:2016-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst