Healthcare Provider Details

I. General information

NPI: 1295572600
Provider Name (Legal Business Name): MS. DAPHNEE DELVA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/12/2024
Last Update Date: 12/02/2025
Certification Date: 12/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4641 NW 89TH AVE
SUNRISE FL
33351-5355
US

IV. Provider business mailing address

13195 SW 134TH ST STE 201
MIAMI FL
33186-4585
US

V. Phone/Fax

Practice location:
  • Phone: 954-669-7083
  • Fax:
Mailing address:
  • Phone: 954-669-7083
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number24359233
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: