Individual
NICOYAH L CARLISLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8950 SW 152ND ST STE 107, PALMETTO BAY, FL 33157-2066
(786) 281-3928
(833) 672-2767
Mailing address
1000 BRICKELL AVE STE 715, MIAMI, FL 33131-3047
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
222Q00000X
Developmental Therapist
OT21928
FL
225XP0200X
Pediatric Occupational Therapist
Primary
21928
FL
Other
Enumeration date
11/07/2017
Last updated
01/28/2026
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