Obamwonyi, Kaylavictoria
Obamwonyi, Kaylavictoria is an individual health care provider with primary practice located at 4150 Ford St Ste 4 , Fort Myers FL 33916-9498. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Assistant Behavior Analyst, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist, Speech, Language and Hearing Service Providers / Speech-Language Pathologist, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Obamwonyi, Kaylavictoria can be contacted via phone (239) 291-5088.Contact Information
Primary practice address
4150 Ford St Ste 4
Fort Myers FL 33916-9498
Phone: (239) 291-5088
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Assistant Behavior Analyst | 106E00000X | 0-17-8157 | Florida |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist | 222Q00000X | ||
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | SZ11691 | Florida |
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | 0-21-54658 | Florida |
Profile Details
| NPI number | 1093193021 |
|---|---|
| LBN Legal business name | Obamwonyi, Kaylavictoria |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 11th, 2015 |
| Last updated | Jan 17th, 2024 - about 10 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1093193021 | NPPES |
| Florida | MEDICAID | 100149700 |
Popular Providers
-
Stieg, Matthew David
9804 Bodego Way #105, Fort Myers FL 33908-9756 -
Zink, Daniel
6714 Winkler Rd , Fort Myers FL 33919-7204 -
Falcon, Sonia
3800 Central Ave Apt 107 , Fort Myers FL 33901-8255 -
Robison, Keri Dawn
6314 Corporate Ct Ste B , Fort Myers FL 33919-3516 -
Carmona, Marta C
12550 New Brittany Blvd Ste 100 , Fort Myers FL 33907-3655 -
Hightower, Indira Robin
6714 Winkler Rd , Fort Myers FL 33919-7204 -
O'Sullivan, Laura P.
18070 S Tamiami Trl Suite 16, Fort Myers FL 33908-4602 -
Scappaticcio, Denise
10878 Stonington Ave , Fort Myers FL 33913-8414