Provider Demographics
NPI:1891210480
Name:BELLO SOSA, LINZAY
Entity type:Individual
Prefix:
First Name:LINZAY
Middle Name:
Last Name:BELLO SOSA
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 1:3310 SW 37TH ST
Mailing Address - Street 2:
Mailing Address - City:WEST PARK
Mailing Address - State:FL
Mailing Address - Zip Code:33023-6348
Mailing Address - Country:US
Mailing Address - Phone:305-905-4261
Mailing Address - Fax:
Practice Address - Street 1:3310 SW 37TH ST
Practice Address - Street 2:
Practice Address - City:WEST PARK
Practice Address - State:FL
Practice Address - Zip Code:33023-6348
Practice Address - Country:US
Practice Address - Phone:305-905-4261
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-04
Last Update Date:2025-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician