Provider Demographics
NPI:1881124014
Name:ARMAS, AILYN
Entity type:Individual
Prefix:
First Name:AILYN
Middle Name:
Last Name:ARMAS
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 1:6927 W 15TH AVE
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33014-3872
Mailing Address - Country:US
Mailing Address - Phone:786-703-4154
Mailing Address - Fax:786-703-4154
Practice Address - Street 1:6927 W 15TH AVE
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33014-3872
Practice Address - Country:US
Practice Address - Phone:786-703-4154
Practice Address - Fax:786-703-4154
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-20
Last Update Date:2017-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior TechnicianGroup - Single Specialty