MEDICARE: DAY TO DAY BEHAVIORAL SERVICES 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	:	1346975521
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DAY TO DAY BEHAVIORAL SERVICES LLC

Provider Business Mailing Address
First Line	:	12730 NW 102ND PL
Second Line	:
City	:	HIALEAH GARDENS
State	:	FL
Zip	:	33018-6028
Country	:	US
Telephone Number	:	305-343-0783
Fax Number	:

Provider Business Practice Location Address
First Line	:	12730 NW 102ND PL
Second Line	:
City	:	HIALEAH GARDENS
State	:	FL
Zip	:	33018-6028
Country	:	US
Telephone Number	:	305-343-0783
Fax Number	:

Authorized Official
Title or Position	:	BOARD CERTIFIED BEHAVIOR ANALYST
Name	:	SAMANTHA DELGADO
Credential	:
Telephone Number	:	305-343-0783

Provider Enumeration Date	:	07/20/2022
Last Update Date	:	07/21/2022

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