Individual
DAYLIS SARDINAS NIETO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
23504 SW 108TH AVE, HOMESTEAD, FL 33032-6290
(786) 585-6314
Mailing address
23504 SW 108TH AVE, HOMESTEAD, FL 33032-6290
(786) 585-6314
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BACB531112
FL
Other
Enumeration date
06/21/2020
Last updated
06/21/2020
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