Provider Demographics
NPI:1891046207
Name:BERNAL, MARIA DANIELA
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:DANIELA
Last Name:BERNAL
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 1:900 SW 8TH STREET
Mailing Address - Street 2:SUITE 1008
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33130-5528
Mailing Address - Country:US
Mailing Address - Phone:305-299-1436
Mailing Address - Fax:305-299-1436
Practice Address - Street 1:900 SW 8TH ST
Practice Address - Street 2:SUITE 1008
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33130-3751
Practice Address - Country:US
Practice Address - Phone:305-299-1436
Practice Address - Fax:305-299-1436
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-25
Last Update Date:2013-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst