Provider Demographics
NPI:1871273029
Name:DE ARMAS, ONILSIE AVILA
Entity type:Individual
Prefix:
First Name:ONILSIE
Middle Name:AVILA
Last Name:DE ARMAS
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 1:2853 FINCH DR
Mailing Address - Street 2:
Mailing Address - City:HOLIDAY
Mailing Address - State:FL
Mailing Address - Zip Code:34690-2902
Mailing Address - Country:US
Mailing Address - Phone:786-259-5888
Mailing Address - Fax:
Practice Address - Street 1:2853 FINCH DR
Practice Address - Street 2:
Practice Address - City:HOLIDAY
Practice Address - State:FL
Practice Address - Zip Code:34690-2902
Practice Address - Country:US
Practice Address - Phone:786-259-5888
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-21
Last Update Date:2023-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLBACB729741106S00000X
FL106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician