Provider Demographics
NPI:1922345180
Name:PENA, DAILANY ANA (BA, SLPA, ITDS)
Entity Type:Individual
Prefix:MS
First Name:DAILANY
Middle Name:ANA
Last Name:PENA
Suffix:
Gender:F
Credentials:BA, SLPA, ITDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8120 SW 191ST ST
Mailing Address - Street 2:
Mailing Address - City:CUTLER BAY
Mailing Address - State:FL
Mailing Address - Zip Code:33157-7442
Mailing Address - Country:US
Mailing Address - Phone:305-951-5186
Mailing Address - Fax:305-675-7844
Practice Address - Street 1:8120 SW 191ST ST
Practice Address - Street 2:
Practice Address - City:CUTLER BAY
Practice Address - State:FL
Practice Address - Zip Code:33157-7442
Practice Address - Country:US
Practice Address - Phone:305-951-5186
Practice Address - Fax:305-675-7844
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-08
Last Update Date:2016-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSI 13162355S0801X
FL222Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist
No2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant