Healthcare Provider Details

I. General information

NPI: 1083474555
Provider Name (Legal Business Name): DAYMA C URBAY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/20/2024
Last Update Date: 03/20/2024
Certification Date: 03/20/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

715 SW 95TH CT
MIAMI FL
33174-2147
US

IV. Provider business mailing address

715 SW 95TH CT
MIAMI FL
33174-2147
US

V. Phone/Fax

Practice location:
  • Phone: 786-503-5488
  • Fax:
Mailing address:
  • Phone: 786-503-5488
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-24-334110
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: