Provider Demographics
NPI:1669702817
Name:ALONGI, DANIEL (BCBA)
Entity type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:
Last Name:ALONGI
Suffix:
Gender:M
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 10TH ST S
Mailing Address - Street 2:733
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33705-1719
Mailing Address - Country:US
Mailing Address - Phone:727-373-6421
Mailing Address - Fax:
Practice Address - Street 1:300 10TH ST S
Practice Address - Street 2:733
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33705-1719
Practice Address - Country:US
Practice Address - Phone:727-373-6421
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-12
Last Update Date:2016-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL0-07-2278103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL770604241Medicaid