Provider Demographics
NPI:1184469850
Name:OSIO, DANIEL SEBASTIAN
Entity type:Individual
Prefix:
First Name:DANIEL
Middle Name:SEBASTIAN
Last Name:OSIO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13371 SW 89TH TER APT A
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33186-1608
Mailing Address - Country:US
Mailing Address - Phone:305-510-8588
Mailing Address - Fax:
Practice Address - Street 1:13371 SW 89TH TER APT A
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33186-1608
Practice Address - Country:US
Practice Address - Phone:305-510-8588
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-26
Last Update Date:2024-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRBT-24-351933106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician