Provider Demographics
NPI:1306659040
Name:LOYNAZ, ANNETTE JR
Entity type:Individual
Prefix:
First Name:ANNETTE
Middle Name:
Last Name:LOYNAZ
Suffix:JR
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 1:5495 COURTNEY CIR
Mailing Address - Street 2:
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33472-1250
Mailing Address - Country:US
Mailing Address - Phone:561-664-3605
Mailing Address - Fax:
Practice Address - Street 1:5495 COURTNEY CIR
Practice Address - Street 2:
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33472-1250
Practice Address - Country:US
Practice Address - Phone:561-664-3605
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-28
Last Update Date:2025-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1-25-78993103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst