Provider Demographics
NPI:1477060721
Name:AGUILA, DAYANA (OWNER)
Entity Type:Individual
Prefix:
First Name:DAYANA
Middle Name:
Last Name:AGUILA
Suffix:
Gender:F
Credentials:OWNER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14500 SW 280TH ST APT 101
Mailing Address - Street 2:
Mailing Address - City:HOMESTEAD
Mailing Address - State:FL
Mailing Address - Zip Code:33032-8339
Mailing Address - Country:US
Mailing Address - Phone:786-315-8018
Mailing Address - Fax:
Practice Address - Street 1:14500 SW 280TH ST APT 101
Practice Address - Street 2:
Practice Address - City:HOMESTEAD
Practice Address - State:FL
Practice Address - Zip Code:33032-8339
Practice Address - Country:US
Practice Address - Phone:786-315-8018
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-01-09
Last Update Date:2018-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior Analyst