Provider Demographics
NPI:1255871216
Name:ZAYAS, TERESA
Entity type:Individual
Prefix:
First Name:TERESA
Middle Name:
Last Name:ZAYAS
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 1:4028 W 8TH LN
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33012-7220
Mailing Address - Country:US
Mailing Address - Phone:786-419-2293
Mailing Address - Fax:305-557-1287
Practice Address - Street 1:4028 W 8TH LN
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33012-7220
Practice Address - Country:US
Practice Address - Phone:786-419-2293
Practice Address - Fax:305-557-1287
Is Sole Proprietor?:No
Enumeration Date:2017-02-24
Last Update Date:2017-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician