Provider Demographics
NPI:1811414253
Name:SIERRA AZAHARES, DAYARIS
Entity Type:Individual
Prefix:
First Name:DAYARIS
Middle Name:
Last Name:SIERRA AZAHARES
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 1:3111 NW 32ND ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33142-5710
Mailing Address - Country:US
Mailing Address - Phone:786-803-7901
Mailing Address - Fax:
Practice Address - Street 1:3111 NW 32ND ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33142-5710
Practice Address - Country:US
Practice Address - Phone:786-803-7901
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-26
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL106E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior Analyst