MEDICARE: SUNNY DAYS BEHAVIOR THERAPY LLC

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	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1316800543
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SUNNY DAYS BEHAVIOR THERAPY LLC

Provider Business Mailing Address
First Line	:	252 W MARION AVE UNIT 1127
Second Line	:
City	:	PUNTA GORDA
State	:	FL
Zip	:	33950-4442
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	252 W MARION AVE UNIT 1127
Second Line	:
City	:	PUNTA GORDA
State	:	FL
Zip	:	33950-4442
Country	:	US
Telephone Number	:	305-303-7576
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	YODALYS GONZALEZ
Credential	:
Telephone Number	:	305-303-7576

Provider Enumeration Date	:	12/04/2025
Last Update Date	:	12/04/2025

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