Healthcare Provider Details

I. General information

NPI: 1710824149
Provider Name (Legal Business Name): DADISNEIBY RODRIGUEZ FRANCO BCABA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/04/2026
Last Update Date: 05/04/2026
Certification Date: 05/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11401 SW 40TH ST STE 465
MIAMI FL
33165-3340
US

IV. Provider business mailing address

2710 W 60TH PL APT 106
HIALEAH FL
33016-5954
US

V. Phone/Fax

Practice location:
  • Phone: 786-580-4609
  • Fax:
Mailing address:
  • Phone: 786-299-7407
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106E00000X
TaxonomyAssistant Behavior Analyst
License Number0-26-17112
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: