Healthcare Provider Details

I. General information

NPI: 1194277269
Provider Name (Legal Business Name): DAYMARA POMPA TORNES
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/25/2016
Last Update Date: 04/18/2026
Certification Date: 04/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6044 E 7TH AVE
HIALEAH FL
33013-1128
US

IV. Provider business mailing address

6044 E 7TH AVE
HIALEAH FL
33013-1128
US

V. Phone/Fax

Practice location:
  • Phone: 786-450-2162
  • Fax:
Mailing address:
  • Phone: 786-450-2162
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-26-89276
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code106E00000X
TaxonomyAssistant Behavior Analyst
License Number0-21-12567
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: