Healthcare Provider Details

I. General information

NPI: 1265195390
Provider Name (Legal Business Name): DANIELA GARRIDO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/15/2021
Last Update Date: 09/20/2026
Certification Date: 09/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11925 SW 72ND ST
MIAMI FL
33183-2709
US

IV. Provider business mailing address

6265 SW 129TH PL APT 2302
MIAMI FL
33183-5249
US

V. Phone/Fax

Practice location:
  • Phone: 305-374-3569
  • Fax:
Mailing address:
  • Phone: 786-468-0419
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106E00000X
TaxonomyAssistant Behavior Analyst
License Number0-26-2852444
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: