Provider Demographics
NPI:1730691247
Name:FIGUEROA ACOSTA, SAILY
Entity type:Individual
Prefix:
First Name:SAILY
Middle Name:
Last Name:FIGUEROA ACOSTA
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 1:11950 SW 202ND ST APT 230
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33177-4494
Mailing Address - Country:US
Mailing Address - Phone:786-910-2958
Mailing Address - Fax:
Practice Address - Street 1:11950 SW 202ND ST APT 230
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33177-4494
Practice Address - Country:US
Practice Address - Phone:786-910-2958
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-10-25
Last Update Date:2017-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician