Provider Demographics
NPI:1558956987
Name:FERRER, DARYELIN YANINA
Entity Type:Individual
Prefix:
First Name:DARYELIN
Middle Name:YANINA
Last Name:FERRER
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 1:545 ONE CENTER BLVD APT 104
Mailing Address - Street 2:
Mailing Address - City:ALTAMONTE SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32701-2207
Mailing Address - Country:US
Mailing Address - Phone:407-435-1306
Mailing Address - Fax:
Practice Address - Street 1:545 ONE CENTER BLVD APT 104
Practice Address - Street 2:
Practice Address - City:ALTAMONTE SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32701-2207
Practice Address - Country:US
Practice Address - Phone:407-435-1306
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-08
Last Update Date:2021-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician