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NPI Code Detail

MEDICARE: DAYANA BEATRIZ BRAVO PERALTA

MEDICARE: DAYANA BEATRIZ BRAVO PERALTA
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
1106S00000XBehavior TechnicianRBT-24-388786FL

General Provider Information

NPI Number : 1386467215
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAYANA BEATRIZ BRAVO PERALTA
Provider Business Mailing Address
First Line : 1008 N LOCKWOOD RIDGE RD APT C
Second Line :
City : SARASOTA
State : FL
Zip : 34237-8823
Country : US
Telephone Number : 786-758-1306
Fax Number :
Provider Business Practice Location Address
First Line : 4509 BEE RIDGE RD UNIT E
Second Line :
City : SARASOTA
State : FL
Zip : 34233-2539
Country : US
Telephone Number : 941-914-5272
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/07/2024
Last Update Date : 11/07/2024

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Directions to “ DAYANA BEATRIZ BRAVO PERALTA ” Practice Location

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