Provider Demographics
NPI:1225411903
Name:DANIEL, JAIME (BCBA)
Entity Type:Individual
Prefix:
First Name:JAIME
Middle Name:
Last Name:DANIEL
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5657 THISTLEDOWN CT
Mailing Address - Street 2:
Mailing Address - City:PACE
Mailing Address - State:FL
Mailing Address - Zip Code:32571-6379
Mailing Address - Country:US
Mailing Address - Phone:850-426-1455
Mailing Address - Fax:
Practice Address - Street 1:5657 THISTLEDOWN CT
Practice Address - Street 2:
Practice Address - City:PACE
Practice Address - State:FL
Practice Address - Zip Code:32571-6379
Practice Address - Country:US
Practice Address - Phone:850-426-1455
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-30
Last Update Date:2015-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst