Provider Demographics
NPI:1285394536
Name:SOSA, AILYN (RBT)
Entity type:Individual
Prefix:
First Name:AILYN
Middle Name:
Last Name:SOSA
Suffix:
Gender:F
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11913 BRISTOL BRIDGE RD
Mailing Address - Street 2:
Mailing Address - City:SPRING HILL
Mailing Address - State:FL
Mailing Address - Zip Code:34610-7910
Mailing Address - Country:US
Mailing Address - Phone:954-709-0455
Mailing Address - Fax:
Practice Address - Street 1:11913 BRISTOL BRIDGE RD
Practice Address - Street 2:
Practice Address - City:SPRING HILL
Practice Address - State:FL
Practice Address - Zip Code:34610-7910
Practice Address - Country:US
Practice Address - Phone:954-709-0455
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-12-28
Last Update Date:2025-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL0-25-16393106E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior Analyst