Provider Demographics
NPI:1811355753
Name:OJEDA, DAYANA E
Entity type:Individual
Prefix:
First Name:DAYANA
Middle Name:E
Last Name:OJEDA
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 1:249 PARK TREE TER
Mailing Address - Street 2:APT. 1112
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32825-3499
Mailing Address - Country:US
Mailing Address - Phone:939-246-9575
Mailing Address - Fax:
Practice Address - Street 1:249 PARK TREE TER
Practice Address - Street 2:APT. 1112
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32825-3499
Practice Address - Country:US
Practice Address - Phone:939-246-9575
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-02-06
Last Update Date:2016-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL101Y00000X, 101YM0800X, 103K00000X, 104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No104100000XBehavioral Health & Social Service ProvidersSocial Worker