MEDICARE: DAYRON NUNEZ

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106E00000X	Assistant Behavior Analyst		FL
2	106S00000X	Behavior Technician	23-270603	FL
3	103K00000X	Behavior Analyst	1-2582084	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1184176521
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAYRON NUNEZ

Provider Business Mailing Address
First Line	:	1033 TANGELO ST
Second Line	:
City	:	LAKELAND
State	:	FL
Zip	:	33803-1983
Country	:	US
Telephone Number	:	305-992-9786
Fax Number	:

Provider Business Practice Location Address
First Line	:	8404 WILSKY BLVD STE 110
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33615-1515
Country	:	US
Telephone Number	:	813-374-3906
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/02/2016
Last Update Date	:	06/20/2025

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