Provider Demographics
NPI:1669277208
Name:POWELL, ZONIYAH MIANGEL
Entity type:Individual
Prefix:
First Name:ZONIYAH
Middle Name:MIANGEL
Last Name:POWELL
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:901 WILSON RIDGE DR APT 2111
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32818-6584
Mailing Address - Country:US
Mailing Address - Phone:321-200-3219
Mailing Address - Fax:
Practice Address - Street 1:2305 GLENWOOD DR
Practice Address - Street 2:
Practice Address - City:WINTER PARK
Practice Address - State:FL
Practice Address - Zip Code:32792-3313
Practice Address - Country:US
Practice Address - Phone:407-743-0312
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-18
Last Update Date:2025-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician