Most Relevant Information
Provider Data
| NPI Number: | 1003655689 |
| Provider Name: | DEJANAYE ENGRAM |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: | BCBA939480 |
Most Important Dates
| Enumeration Date: | 05/22/2024 |
| Last Updated: | 05/22/2024 |
Provider Practice Location
5200 NW 24TH CT
LAUDERHILL
FL
333133222
Practice Location Phone/Fax
| Phone: | 7549460265 |
| Fax: | 7549460265 |
Provider Mailing Location
5200 NW 24TH CT
LAUDERHILL
FL
333133222
Provider Mailing Phone/Fax
| Phone: | 7549460265 |
| Fax: | 7549460265 |