Individual
DANIELLA YOUNG-BUITRAGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA SED. BCBA
Contact information
Practice address
13195 SW 136TH STREET. SUITE 201, MIAMI, FL 33186
(786) 206-6500
Mailing address
3110 SW 47TH AVE, WEST PARK, FL 33023-5578
(305) 527-0548
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-47607
FL
106S00000X
Behavior Technician
RBT-18-49888
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
024174300
—
FL
Enumeration date
01/03/2018
Last updated
02/22/2024
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