Healthcare Provider Details

I. General information

NPI: 1891201133
Provider Name (Legal Business Name): DANIELA ZAPATA BCABA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/22/2017
Last Update Date: 12/09/2020
Certification Date: 12/09/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10300 SUNSET DR STE 114
MIAMI FL
33173-3038
US

IV. Provider business mailing address

4716 NW 114TH AVE UNIT 101
DORAL FL
33178-4268
US

V. Phone/Fax

Practice location:
  • Phone: 305-542-6922
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code106E00000X
TaxonomyAssistant Behavior Analyst
License Number01910156
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: