Provider Demographics
NPI:1649008889
Name:DEL SOL, DUNNEY
Entity type:Individual
Prefix:
First Name:DUNNEY
Middle Name:
Last Name:DEL SOL
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 1:4500 W 16TH AVE APT 316
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33012-2909
Mailing Address - Country:US
Mailing Address - Phone:786-280-7956
Mailing Address - Fax:
Practice Address - Street 1:4500 W 16TH AVE APT 316
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33012-2909
Practice Address - Country:US
Practice Address - Phone:786-280-7956
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-22
Last Update Date:2024-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRBT-24-354757106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician