Provider Demographics
NPI:1265181028
Name:CHAVEZ ARIAS, JANY
Entity type:Individual
Prefix:
First Name:JANY
Middle Name:
Last Name:CHAVEZ ARIAS
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 1:1820 W 46TH ST
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33012-2836
Mailing Address - Country:US
Mailing Address - Phone:305-989-0287
Mailing Address - Fax:
Practice Address - Street 1:1820 W 46TH ST
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33012-2836
Practice Address - Country:US
Practice Address - Phone:305-989-0287
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-21
Last Update Date:2022-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician