| Doctor Name: | KAYWANA O.T. BUCKLEY |
| NPI Number: | 1023327988 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | BS |
| License Number: | |
| Business Practice Address: | 450 E Atlantic Blvd Pompano Beach, FL - 330606256 |
| Business Phone Number: | 9545800770 |
| Business Fax Number: | 9545800777 |
| Mailing Address: | 11031 Ne 6th Ave, MIAMI |
| State: | FL |
| Postal Code: | 331617182 |
| Phone Number: | 3053986100 |
| Fax Number: | 3057574465 |
| NPI Enumeration Date: | 09/27/2010 |
| NPI Last Update Date: | 09/27/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101Y00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |