Individual
DR. BARRY DALY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ED.D.,LMHC,BCBA-D
Contact information
Practice address
800 S EUSTIS ST, SUITE G & H, EUSTIS, FL 32726-4886
(321) 436-8445
(407) 298-9166
Mailing address
PO BOX 364, GOTHA, FL 34734-0364
(321) 436-8445
(407) 298-9166
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
2399
FL
101YM0800X
Mental Health Counselor
05047
FL
101YP2500X
Professional Counselor
Primary
5047
FL
103K00000X
Behavior Analyst
1-00-0254
FL
251B00000X
Case Management Agency
05047
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001679600
—
FL
05
—
003888800
—
FL
05
—
008316100
—
FL
05
—
008750400
—
FL
05
—
283455
—
FL
05
—
303984
—
FL
05
—
683791396
—
FL
Enumeration date
08/11/2006
Last updated
04/07/2017
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