=====================================================
General NPI Number Information
=====================================================
NPI Number | 1720700594
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | DANNI SARATE
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/16/2022
-----------------------------------------------------
Last Update Date | 01/22/2023
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 6533 RIVER RD
-----------------------------------------------------
City | NEW PORT RICHEY
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 34652-2229
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 331-871-0331
-----------------------------------------------------
Fax | 331-871-0331
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 6533 RIVER RD
-----------------------------------------------------
City | NEW PORT RICHEY
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 34652-2229
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone |
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 106S00000X
-----------------------------------------------------
Taxonomy Name | Behavior Technician
-----------------------------------------------------
License Number | RBT-22-235088
-----------------------------------------------------
License Number State | FL
-----------------------------------------------------