Provider Demographics
NPI:1881190841
Name:BUREY, LIURYS
Entity Type:Individual
Prefix:
First Name:LIURYS
Middle Name:
Last Name:BUREY
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 1:11200 SW 107TH AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33176-4021
Mailing Address - Country:US
Mailing Address - Phone:305-400-8735
Mailing Address - Fax:786-431-1170
Practice Address - Street 1:11200 SW 107TH AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33176-4021
Practice Address - Country:US
Practice Address - Phone:305-400-8735
Practice Address - Fax:786-431-1170
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-30
Last Update Date:2021-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
3747P1801X
FLRBT-20-122020106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant