Healthcare Provider Details

I. General information

NPI: 1154064889
Provider Name (Legal Business Name): DANIELA MARIA VARONA RIVERO RBT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/20/2022
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17760 PLEASANTVIEW BLVD
LAND O LAKES FL
34638-5979
US

IV. Provider business mailing address

17760 PLEASANTVIEW BLVD
LAND O LAKES FL
34638-5979
US

V. Phone/Fax

Practice location:
  • Phone: 786-413-0483
  • Fax:
Mailing address:
  • Phone: 786-413-0483
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106E00000X
TaxonomyAssistant Behavior Analyst
License Number0-26-2837190
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-22-212847
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: