Provider Demographics
NPI:1982461349
Name:SHERROD, BRIAHNA JANEL (MM, MT-BC, NICU-MT)
Entity Type:Individual
Prefix:
First Name:BRIAHNA
Middle Name:JANEL
Last Name:SHERROD
Suffix:
Gender:F
Credentials:MM, MT-BC, NICU-MT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:605 DELANEY AVE
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32801-3812
Mailing Address - Country:US
Mailing Address - Phone:321-278-6643
Mailing Address - Fax:
Practice Address - Street 1:605 DELANEY AVE
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32801-3812
Practice Address - Country:US
Practice Address - Phone:321-278-6643
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-04
Last Update Date:2024-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL12348225A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist