Healthcare Provider Details

I. General information

NPI: 1902423544
Provider Name (Legal Business Name): DANIELA PONCE COTS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/30/2020
Last Update Date: 06/12/2026
Certification Date: 06/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6800 W 16TH DR APT 210
HIALEAH FL
33014-4453
US

IV. Provider business mailing address

6800 W 16TH DR APT 210
HIALEAH FL
33014-4453
US

V. Phone/Fax

Practice location:
  • Phone: 786-470-4852
  • Fax:
Mailing address:
  • Phone: 786-470-4852
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106E00000X
TaxonomyAssistant Behavior Analyst
License Number0-26-17204
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: