Individual
DANIELA BASTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA, M.S.
Contact information
Practice address
13300 SW 128TH ST, MIAMI, FL 33186-5899
(305) 586-5762
Mailing address
12748 SW 224TH ST, MIAMI, FL 33170-6313
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-24-75057
FL
106S00000X
Behavior Technician
RBT-19-92602
FL
Other
Enumeration date
08/16/2019
Last updated
10/07/2024
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