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Kaylavictoria Obamwonyi

Behavior Analyst Assistant Behavior Analyst

12724 Gran Bay Pkwy W Ste 410
Jacksonville , Florida 32258-9486

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Kaylavictoria Obamwonyi

Behavior Analyst Assistant Behavior Analyst

12724 Gran Bay Pkwy W Ste 410
Jacksonville , Florida 32258-9486

(772) 675-9100

Write a Review Save Call

Kaylavictoria Obamwonyi

Behavior Analyst Assistant Behavior Analyst

12724 Gran Bay Pkwy W Ste 410
Jacksonville , Florida 32258-9486

(772) 675-9100 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Behavior Analyst
  • Assistant Behavior Analyst

Languages spoken

  • English

Location

12724 Gran Bay Pkwy W Ste 410 Jacksonville , Florida 32258-9486

First Address

  • Kaylavictoria Obamwonyi
  • 7108 S Kanner Hwy
  • Stuart, FL
  • Zip : 34997-7462
  • Fax : (772) 675-9100
  • Phone : (855) 832-6727

Second Address

  • Kaylavictoria Obamwonyi
  • 12724 Gran Bay Pkwy W Ste 410
  • Jacksonville, FL
  • Zip : 32258-9486
  • Phone : (855) 832-6727

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FAQs


Where did Kaylavictoria Obamwonyi attend graduate school?

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Where did Kaylavictoria Obamwonyi do her residency?

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Where did Kaylavictoria Obamwonyi do her fellowship?

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Is Kaylavictoria Obamwonyi board certified?

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What type of doctor is Kaylavictoria Obamwonyi

Behavior Analyst

In what state does Kaylavictoria Obamwonyi practice in?

Florida

Where is Kaylavictoria Obamwonyi ’s practice located?

12724 Gran Bay Pkwy W Ste 410 , Jacksonville, Florida, 32258-9486

What is Kaylavictoria Obamwonyi ’s gender?

Female

Is Kaylavictoria Obamwonyi a sole practitioner?

No

Is Kaylavictoria Obamwonyi accepting new patients?

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What languages does Kaylavictoria Obamwonyi speak?

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Does Kaylavictoria Obamwonyi accept insurance?

Yes, Kaylavictoria Obamwonyi accepts insurance

Does Kaylavictoria Obamwonyi offers telemedicine?

Kaylavictoria Obamwonyi has not indicated if she offers telemedicine

What is Kaylavictoria Obamwonyi ’s professional license number?

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What is Kaylavictoria Obamwonyi ’s NPI number?

1093193021

Does Kaylavictoria Obamwonyi have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 103K00000X Behavior Analyst 0-21-54658 FL
N 106E00000X Assistant Behavior Analyst 0-17-8157 FL

National Provider Identifier

NPI 1093193021
Provider Name Kaylavictoria Obamwonyi
First Address Stuart, FL 34997-7462
Second Address Jacksonville, FL 32258-9486
Gender F
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 11/05/2015
Last Update Date 12/11/2021

Additional Identifiers

IDENTIFIER TYPE / CODE IDENTIFIER STATE
100149700 (05) FL

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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