Individual
DANAY BENCOMO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NO
Contact information
Practice address
801 W 50TH ST, HIALEAH, FL 33012-3413
(786) 717-8011
Mailing address
801 W 50TH ST, HIALEAH, FL 33012-3413
(786) 717-8011
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1457659310
—
FL
Enumeration date
05/24/2016
Last updated
05/24/2016
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