Provider Demographics
NPI:1841924628
Name:KAIRUZ, ALISON ONELIA
Entity type:Individual
Prefix:MRS
First Name:ALISON
Middle Name:ONELIA
Last Name:KAIRUZ
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 1:2955 W 80TH ST APT 205
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33018-3898
Mailing Address - Country:US
Mailing Address - Phone:786-587-0661
Mailing Address - Fax:
Practice Address - Street 1:2955 W 80TH ST APT 205
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33018-3898
Practice Address - Country:US
Practice Address - Phone:786-587-0661
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-15
Last Update Date:2022-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician