Provider Demographics
NPI:1952458630
Name:MULTARI, SYLVIA H (LMHC,BCBA)
Entity Type:Individual
Prefix:MS
First Name:SYLVIA
Middle Name:H
Last Name:MULTARI
Suffix:
Gender:F
Credentials:LMHC,BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:94 SAN BLAS AVE
Mailing Address - Street 2:
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34743-6626
Mailing Address - Country:US
Mailing Address - Phone:321-231-4230
Mailing Address - Fax:407-744-0167
Practice Address - Street 1:94 SAN BLAS AVE
Practice Address - Street 2:
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34743-6626
Practice Address - Country:US
Practice Address - Phone:321-231-4230
Practice Address - Fax:407-744-0167
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-04
Last Update Date:2019-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
103K00000X
FLMH7595101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL010968700Medicaid
FL023731200Medicaid