Provider Demographics
NPI:1528501558
Name:BUENAFLOR, APOLYN FLORES
Entity type:Individual
Prefix:MISS
First Name:APOLYN
Middle Name:FLORES
Last Name:BUENAFLOR
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 1:18147 TABLEAU WAY
Mailing Address - Street 2:
Mailing Address - City:SANTA CLARITA
Mailing Address - State:CA
Mailing Address - Zip Code:91350-5898
Mailing Address - Country:US
Mailing Address - Phone:917-825-9192
Mailing Address - Fax:
Practice Address - Street 1:18147 TABLEAU WAY
Practice Address - Street 2:
Practice Address - City:SANTA CLARITA
Practice Address - State:CA
Practice Address - Zip Code:91350-5898
Practice Address - Country:US
Practice Address - Phone:917-825-9192
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-11-22
Last Update Date:2024-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA19598225X00000X
NY019257225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist