Provider Demographics
NPI:1083129522
Name:MACHIN, DAILYN
Entity Type:Individual
Prefix:MISS
First Name:DAILYN
Middle Name:
Last Name:MACHIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20027 NW 85TH AVE
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33015-5984
Mailing Address - Country:US
Mailing Address - Phone:305-490-4065
Mailing Address - Fax:
Practice Address - Street 1:20027 NW 85TH AVE
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33015-5984
Practice Address - Country:US
Practice Address - Phone:305-490-4065
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-12-06
Last Update Date:2022-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician