Healthcare Provider Details
I. General information
NPI: 1275117798
Provider Name (Legal Business Name): DAILYS ROSALES RBT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 05/11/2021
Last Update Date: 06/05/2026
Certification Date: 06/05/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
19001 SW 106TH AVE STE C103
CUTLER BAY FL
33157-7669
US
IV. Provider business mailing address
9141 SW 72ND AVE APT W4
PINECREST FL
33156-1636
US
V. Phone/Fax
- Phone: 786-523-2352
- Fax:
- Phone: 786-306-7146
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103K00000X |
| Taxonomy | Behavior Analyst |
| License Number | 1-26-90411 |
| License Number State | FL |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 106S00000X |
| Taxonomy | Behavior Technician |
| License Number | RBT-19-98667 |
| License Number State | FL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: