Provider Demographics
NPI:1134089741
Name:MAKARAN, FOWSIYA
Entity type:Individual
Prefix:
First Name:FOWSIYA
Middle Name:
Last Name:MAKARAN
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 1:2907 CLEARWATER RD STE 100
Mailing Address - Street 2:
Mailing Address - City:SAINT CLOUD
Mailing Address - State:MN
Mailing Address - Zip Code:56301-6191
Mailing Address - Country:US
Mailing Address - Phone:320-360-6843
Mailing Address - Fax:
Practice Address - Street 1:2907 CLEARWATER RD STE 100
Practice Address - Street 2:
Practice Address - City:SAINT CLOUD
Practice Address - State:MN
Practice Address - Zip Code:56301-6191
Practice Address - Country:US
Practice Address - Phone:320-360-6843
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-11-15
Last Update Date:2025-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst