Provider Demographics
NPI:1588466205
Name:PAYNE, SABRENA WYNNETTE
Entity type:Individual
Prefix:MRS
First Name:SABRENA
Middle Name:WYNNETTE
Last Name:PAYNE
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22925 SW 113TH PL
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33170-7591
Mailing Address - Country:US
Mailing Address - Phone:305-498-3764
Mailing Address - Fax:
Practice Address - Street 1:22925 SW 113TH PL
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33170-7591
Practice Address - Country:US
Practice Address - Phone:786-220-0048
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-25
Last Update Date:2025-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services