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Individual

DANIELA BALLESTEROS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
9063 SW 142ND PATH, MIAMI, FL 33186-7817
(954) 290-5359
Mailing address
9063 SW 142ND PATH, MIAMI, FL 33186-7817
(954) 290-5359

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-25-82518
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
115558300
FL
Enumeration date
08/31/2022
Last updated
11/20/2025
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