Individual
DANIA CONCEPCION BAUTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12841 SW 43RD DR APT 261A, MIAMI, FL 33175-4182
(512) 679-3070
Mailing address
730 ARNOLD DR, WEST PALM BEACH, FL 33415-3912
(786) 561-2033
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
023009300
FL
222Q00000X
Developmental Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
023009300
—
FL
Enumeration date
08/13/2018
Last updated
10/10/2023
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