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Individual

DANIELYS PENA CHANG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3630 TERRAPIN LN APT 711, CORAL SPRINGS, FL 33067-3164
(510) 290-6960
Mailing address
3630 TERRAPIN LN APT 711, CORAL SPRINGS, FL 33067-3164
(510) 290-6960

Taxonomy

Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
21193624
RBT CERTIFICATION
FL
Enumeration date
12/23/2021
Last updated
12/23/2021
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