Provider Demographics
NPI:1558623074
Name:LA FONTAINE, ZENAYDA
Entity type:Individual
Prefix:
First Name:ZENAYDA
Middle Name:
Last Name:LA FONTAINE
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 1:9241 SW 212TH TER
Mailing Address - Street 2:
Mailing Address - City:CUTLER BAY
Mailing Address - State:FL
Mailing Address - Zip Code:33189-3833
Mailing Address - Country:US
Mailing Address - Phone:786-447-0022
Mailing Address - Fax:305-397-2764
Practice Address - Street 1:9241 SW 212TH TER STE B360
Practice Address - Street 2:
Practice Address - City:CUTLER BAY
Practice Address - State:FL
Practice Address - Zip Code:33189-3833
Practice Address - Country:US
Practice Address - Phone:305-859-1590
Practice Address - Fax:305-397-2764
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-11
Last Update Date:2021-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst