Provider Demographics
NPI:1972341758
Name:SOSA BELLO, JANY
Entity type:Individual
Prefix:
First Name:JANY
Middle Name:
Last Name:SOSA BELLO
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 1:1451 N MILITARY TRL LOT 61
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33409-6048
Mailing Address - Country:US
Mailing Address - Phone:561-324-4738
Mailing Address - Fax:
Practice Address - Street 1:1451 N MILITARY TRL LOT 61
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33409-6048
Practice Address - Country:US
Practice Address - Phone:561-324-4738
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-17
Last Update Date:2024-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician