Provider Demographics
NPI:1073490785
Name:ALAMO SERRA, AILYN
Entity type:Individual
Prefix:
First Name:AILYN
Middle Name:
Last Name:ALAMO SERRA
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 1:12750 NW 27TH AVE APT 91
Mailing Address - Street 2:
Mailing Address - City:OPA LOCKA
Mailing Address - State:FL
Mailing Address - Zip Code:33054-7016
Mailing Address - Country:US
Mailing Address - Phone:786-931-3446
Mailing Address - Fax:
Practice Address - Street 1:12750 NW 27TH AVE APT 91
Practice Address - Street 2:
Practice Address - City:OPA LOCKA
Practice Address - State:FL
Practice Address - Zip Code:33054-7016
Practice Address - Country:US
Practice Address - Phone:786-931-3446
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-18
Last Update Date:2025-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician