Samlis Samuell Bouza, is a
Behavior Analyst based in Miami, Florida. Samlis Samuell Bouza is licensed to practice in * (Not Available) (license number ) and her current practice location is
3121 Sw 140th Ave, Miami, Florida. She can be reached at her office (for appointments etc.) via phone at
(305) 790-9504.
NPI number for Samlis Samuell Bouza is 1639422041 and her current mailing address is 3121 Sw 140th Ave, Miami, Florida. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1639422041.
Healthcare Provider's Profile
Full Name | Samlis Samuell Bouza |
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Gender | Female |
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Speciality | Behavior Analyst |
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Location | 3121 Sw 140th Ave, Miami, Florida |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1639422041
- Provider Enumeration Date: 10/23/2012
- Last Update Date: 12/18/2023
Medical Identifiers
Medical identifiers for Samlis Samuell Bouza such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1639422041 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
106E00000X | Assistant Behavior Analyst | (* (Not Available)) | Secondary |
103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Samlis Samuell Bouza is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Samlis Samuell Bouza, 3121 Sw 140th Ave, Miami, FL 33175-6504 Ph: (305) 790-9504 | Samlis Samuell Bouza, 3121 Sw 140th Ave, Miami, FL 33175-6504 Ph: (305) 790-9504 |
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