Individual
DAYANNA LOPEZ MACHANDI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15599 SW 106TH LN APT 1208, MIAMI, FL 33196-3504
(702) 888-5480
Mailing address
12966 SW 133RD CT, MIAMI, FL 33186-6173
(305) 255-6203
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-49442
FL
106E00000X
Assistant Behavior Analyst
0-19-10687
FL
106S00000X
Behavior Technician
RBT-18-60677
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
022017000
—
FL
Enumeration date
09/15/2019
Last updated
09/08/2021
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