Provider Demographics
NPI:1891216222
Name:CLIMACO, DANIELA SARA (MA, BCBA, LBA)
Entity Type:Individual
Prefix:MRS
First Name:DANIELA
Middle Name:SARA
Last Name:CLIMACO
Suffix:
Gender:F
Credentials:MA, BCBA, LBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:734 FRANKLIN AVE # 501
Mailing Address - Street 2:
Mailing Address - City:GARDEN CITY
Mailing Address - State:NY
Mailing Address - Zip Code:11530-4525
Mailing Address - Country:US
Mailing Address - Phone:516-605-6168
Mailing Address - Fax:516-605-6168
Practice Address - Street 1:1333 S OCEAN BLVD
Practice Address - Street 2:
Practice Address - City:POMPANO BEACH
Practice Address - State:FL
Practice Address - Zip Code:33062
Practice Address - Country:US
Practice Address - Phone:516-605-6168
Practice Address - Fax:516-605-6168
Is Sole Proprietor?:Yes
Enumeration Date:2017-07-06
Last Update Date:2021-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY11518328103K00000X
NY001145103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty