Provider Demographics
NPI:1841718467
Name:BAROONI, NEDA
Entity type:Individual
Prefix:
First Name:NEDA
Middle Name:
Last Name:BAROONI
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 1:2851 NE 183RD ST APT 414
Mailing Address - Street 2:
Mailing Address - City:AVENTURA
Mailing Address - State:FL
Mailing Address - Zip Code:33160-2137
Mailing Address - Country:US
Mailing Address - Phone:904-707-1096
Mailing Address - Fax:
Practice Address - Street 1:2851 NE 183RD ST APT 414
Practice Address - Street 2:
Practice Address - City:AVENTURA
Practice Address - State:FL
Practice Address - Zip Code:33160-2137
Practice Address - Country:US
Practice Address - Phone:904-707-1096
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-09-04
Last Update Date:2022-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician