Individual
MALGORZATA I DAYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BEHAVIOR ASSISTANT
Contact information
Practice address
1680 E CENTRAL AVE, MERRITT ISLAND, FL 32952-5675
(855) 832-6727
Mailing address
4575 SE DIXIE HWY, STUART, FL 34997-6826
(855) 832-6727
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
021393300
—
FL
Enumeration date
08/24/2017
Last updated
08/24/2017
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