Most Relevant Information
Provider Data
| NPI Number: | 1003669987 |
| Provider Name: | DANAY GOMEZ MIRANDA RBT |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: | BACB919731 |
Most Important Dates
| Enumeration Date: | 04/09/2024 |
| Last Updated: | 04/09/2024 |
Provider Practice Location
612 GREAT BLUE CT
ORLANDO
FL
328255930
Practice Location Phone/Fax
| Phone: | 7866200769 |
| Fax: |
Provider Mailing Location
612 GREAT BLUE CT
ORLANDO
FL
328255930
Provider Mailing Phone/Fax
| Phone: | 7866200769 |
| Fax: |