Healthcare Provider Details

I. General information

NPI: 1568254928
Provider Name (Legal Business Name): DANAE LLANES
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/21/2025
Last Update Date: 05/21/2025
Certification Date: 05/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6237 W FLAGLER ST APT 2
MIAMI FL
33144-3031
US

IV. Provider business mailing address

6237 W FLAGLER ST APT 2
MIAMI FL
33144-3031
US

V. Phone/Fax

Practice location:
  • Phone: 305-946-9038
  • Fax:
Mailing address:
  • Phone: 305-946-9038
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-25-437433
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: