MEDICARE: DANIELA 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
2	106S00000X	Behavior Technician	RBT-18-73684	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	:	1568972818
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANIELA NUNEZ

Provider Business Mailing Address
First Line	:	7140 COOLIDGE ST
Second Line	:
City	:	HOLLYWOOD
State	:	FL
Zip	:	33024-3822
Country	:	US
Telephone Number	:	954-470-5558
Fax Number	:

Provider Business Practice Location Address
First Line	:	7140 COOLIDGE ST
Second Line	:
City	:	HOLLYWOOD
State	:	FL
Zip	:	33024-3822
Country	:	US
Telephone Number	:	954-470-5558
Fax Number	:

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

Provider Enumeration Date	:	10/01/2017
Last Update Date	:	07/29/2019

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Directions to “ DANIELA NUNEZ ” Practice Location

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