Healthcare Provider Details

I. General information

NPI: 1205516374
Provider Name (Legal Business Name): DAYMARA M SANCHEZ CHALA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/24/2023
Last Update Date: 04/07/2026
Certification Date: 04/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20221 SW 118TH AVE
MIAMI FL
33177-5429
US

IV. Provider business mailing address

20221 SW 118TH AVE
MIAMI FL
33177-5429
US

V. Phone/Fax

Practice location:
  • Phone: 863-207-8410
  • Fax:
Mailing address:
  • Phone: 863-207-8410
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106E00000X
TaxonomyAssistant Behavior Analyst
License Number0-25-16139
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: