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NPI Code Detail

MEDICARE: DAYNELIS CORRALES AGUERO

MEDICARE: DAYNELIS CORRALES AGUERO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1306643465
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAYNELIS CORRALES AGUERO
Provider Business Mailing Address
First Line : 10200 NICARAGUA DR
Second Line :
City : CUTLER BAY
State : FL
Zip : 33189-2341
Country : US
Telephone Number : 786-578-9336
Fax Number :
Provider Business Practice Location Address
First Line : 10200 NICARAGUA DR
Second Line :
City : CUTLER BAY
State : FL
Zip : 33189-2341
Country : US
Telephone Number : 786-578-9336
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/26/2025
Last Update Date : 02/26/2025

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Directions to “ DAYNELIS CORRALES AGUERO ” Practice Location

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