Provider Demographics
NPI:1386505204
Name:ANDRADE, OSLEDIS DAYANA
Entity type:Individual
Prefix:
First Name:OSLEDIS
Middle Name:DAYANA
Last Name:ANDRADE
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 1:3764 COELEBS AVE
Mailing Address - Street 2:
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33436-2709
Mailing Address - Country:US
Mailing Address - Phone:561-402-5505
Mailing Address - Fax:
Practice Address - Street 1:1035 GATEWAY BLVD STE 212
Practice Address - Street 2:
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33426-8349
Practice Address - Country:US
Practice Address - Phone:561-600-9022
Practice Address - Fax:207-955-7022
Is Sole Proprietor?:Yes
Enumeration Date:2025-11-20
Last Update Date:2025-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRBT-24-372451106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician