Provider Demographics
NPI:1326401548
Name:DANIER, FARAH
Entity Type:Individual
Prefix:
First Name:FARAH
Middle Name:
Last Name:DANIER
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 1:1400 NW 108TH AVE APT 267
Mailing Address - Street 2:
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33322-6936
Mailing Address - Country:US
Mailing Address - Phone:786-271-4774
Mailing Address - Fax:
Practice Address - Street 1:1400 NW 108TH AVE APT 267
Practice Address - Street 2:
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33322-6936
Practice Address - Country:US
Practice Address - Phone:786-271-4774
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-04
Last Update Date:2016-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency