Healthcare Provider Details

I. General information

NPI: 1831838846
Provider Name (Legal Business Name): DAYANA MORALES (VALIDO) MS. ED. BCBA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/31/2022
Last Update Date: 08/07/2023
Certification Date: 08/07/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

107 ANTILLA AVE
CORAL GABLES FL
33134-3301
US

IV. Provider business mailing address

11302 SW 114TH CIRCLE TER
MIAMI FL
33176-3868
US

V. Phone/Fax

Practice location:
  • Phone: 305-567-5881
  • Fax:
Mailing address:
  • Phone: 305-297-9180
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number12366682
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: