Provider Demographics
NPI:1538950563
Name:CHERY, KING-ISAIAH
Entity type:Individual
Prefix:
First Name:KING-ISAIAH
Middle Name:
Last Name:CHERY
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1890 NW 81ST TER
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33147-5143
Mailing Address - Country:US
Mailing Address - Phone:754-319-6827
Mailing Address - Fax:
Practice Address - Street 1:1890 NW 81ST TER
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33147-5143
Practice Address - Country:US
Practice Address - Phone:754-319-6827
Practice Address - Fax:754-319-6827
Is Sole Proprietor?:No
Enumeration Date:2025-05-17
Last Update Date:2025-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician
No103T00000XBehavioral Health & Social Service ProvidersPsychologist