MEDICARE: ZOEY STORM DANIELS

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	106S00000X	Behavior Technician	RBT-25-503896	FL

General Provider Information

NPI Number	:	1730034547
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ZOEY STORM DANIELS

Provider Business Mailing Address
First Line	:	305 E 15TH ST
Second Line	:
City	:	SANFORD
State	:	FL
Zip	:	32771-3435
Country	:	US
Telephone Number	:	407-590-9639
Fax Number	:

Provider Business Practice Location Address
First Line	:	5739 BYRON ANTHONY PL STE 1001
Second Line	:
City	:	SANFORD
State	:	FL
Zip	:	32771-8638
Country	:	US
Telephone Number	:	321-483-7880
Fax Number	:

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

Provider Enumeration Date	:	02/27/2026
Last Update Date	:	02/27/2026

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Directions to “ ZOEY STORM DANIELS ” Practice Location

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