Healthcare Provider Details

I. General information

NPI: 1174451587
Provider Name (Legal Business Name): NIKI DACUNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/13/2026
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1329 WINTER GARDEN VINELAND RD STE 110
WINTER GARDEN FL
34787-4353
US

IV. Provider business mailing address

1329 WINTER GARDEN VINELAND RD STE 110
WINTER GARDEN FL
34787-4353
US

V. Phone/Fax

Practice location:
  • Phone: 321-800-3770
  • Fax:
Mailing address:
  • Phone: 321-800-3770
  • Fax: 407-792-4770

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: