Individual
DANEIRY MOYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ESE TEACHER
Contact information
Practice address
7007 SEABURY CT, TAMPA, FL 33615-2958
(813) 453-0502
Mailing address
7007 SEABURY CT, TAMPA, FL 33615-2958
(813) 453-0502
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
251E00000X
Home Health Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103760200
—
FL
Enumeration date
07/22/2020
Last updated
05/27/2022
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