Provider Demographics
NPI:1467131870
Name:VALDES OLIVA, DAILE (RBT)
Entity Type:Individual
Prefix:
First Name:DAILE
Middle Name:
Last Name:VALDES OLIVA
Suffix:
Gender:F
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3990 PORTA TRIESTE LOOP APT 101
Mailing Address - Street 2:
Mailing Address - City:CAPE CORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33909-5479
Mailing Address - Country:US
Mailing Address - Phone:239-379-1256
Mailing Address - Fax:
Practice Address - Street 1:3990 PORTA TRIESTE LOOP APT 101
Practice Address - Street 2:
Practice Address - City:CAPE CORAL
Practice Address - State:FL
Practice Address - Zip Code:33909-5479
Practice Address - Country:US
Practice Address - Phone:239-379-1256
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-13
Last Update Date:2023-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior Analyst