Provider Demographics
NPI:1720884356
Name:PANOSTY, SCHNIDENE DANICA
Entity type:Individual
Prefix:
First Name:SCHNIDENE
Middle Name:DANICA
Last Name:PANOSTY
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 1:833 NE 11TH AVE APT 2
Mailing Address - Street 2:
Mailing Address - City:POMPANO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33060-5728
Mailing Address - Country:US
Mailing Address - Phone:754-265-5003
Mailing Address - Fax:
Practice Address - Street 1:833 NE 11TH AVE APT 2
Practice Address - Street 2:
Practice Address - City:POMPANO BEACH
Practice Address - State:FL
Practice Address - Zip Code:33060-5728
Practice Address - Country:US
Practice Address - Phone:754-265-5003
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-24
Last Update Date:2025-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician