Healthcare Provider Details

I. General information

NPI: 1558039321
Provider Name (Legal Business Name): DANIELA ARCIA LEAL
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/05/2021
Last Update Date: 03/19/2026
Certification Date: 03/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6851 SW 129TH AVE APT 6
MIAMI FL
33183-2457
US

IV. Provider business mailing address

6851 SW 129TH AVE APT 6
MIAMI FL
33183-2457
US

V. Phone/Fax

Practice location:
  • Phone: 786-230-0362
  • Fax: 866-500-2186
Mailing address:
  • Phone: 786-230-0362
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-24-73088
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: