Individual
LYNETTE CHARRISE BENABOURA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5341 OLIVE AVE, SARASOTA, FL 34231-2511
(571) 709-8950
Mailing address
5341 OLIVE AVE, SARASOTA, FL 34231-2511
(941) 914-7501
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
106S00000X
Behavior Technician
—
FL
106S00000X
Behavior Technician
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/02/2024
Last updated
12/31/2025
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