Provider Demographics
NPI:1184492829
Name:DENK, AIDEN R
Entity type:Individual
Prefix:
First Name:AIDEN
Middle Name:R
Last Name:DENK
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 1:608 OAKMOSS DR
Mailing Address - Street 2:
Mailing Address - City:BRANDON
Mailing Address - State:FL
Mailing Address - Zip Code:33511-7970
Mailing Address - Country:US
Mailing Address - Phone:813-759-3344
Mailing Address - Fax:
Practice Address - Street 1:608 OAKMOSS DR
Practice Address - Street 2:
Practice Address - City:BRANDON
Practice Address - State:FL
Practice Address - Zip Code:33511-7970
Practice Address - Country:US
Practice Address - Phone:813-759-3344
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-12
Last Update Date:2023-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician