Provider Demographics
NPI:1902335599
Name:BENYAKAR, ELLA-SHANIE (MS, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:ELLA-SHANIE
Middle Name:
Last Name:BENYAKAR
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:SHANIE
Other - Middle Name:
Other - Last Name:BENYAKAR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:9477 NW 39TH PL
Mailing Address - Street 2:
Mailing Address - City:SUNRISE
Mailing Address - State:FL
Mailing Address - Zip Code:33351-7600
Mailing Address - Country:US
Mailing Address - Phone:561-337-0474
Mailing Address - Fax:
Practice Address - Street 1:9477 NW 39TH PL
Practice Address - Street 2:
Practice Address - City:SUNRISE
Practice Address - State:FL
Practice Address - Zip Code:33351
Practice Address - Country:US
Practice Address - Phone:561-337-0474
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-07
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSZ7713235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLSZ7713OtherDOH LICENSE NUMBER