Provider / Organization | NPI | Date Certified |
---|---|---|
DANIELLA OTUN | 1104531185 | 2023-01-13 |
Daniella Otun is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1104531185. Registration indicates Daniella Otun is a provider of services with a specialization in Behavioral Health & Social Service Providers, Behavior Technician (Behavior Technician, Behavioral Health & Social Service Providers) (Behavior Technician, )
Entity Type | Individual |
Provider Name | Daniella Otun |
Practice Office Address | 12725 RACE TRACK RD TAMPA, FL US |
Practice Office Telephone | 8134677190 |
Mailing Address | 300 INTERNATIONAL PARKWAY SUITE 200 LAKE MARY, FL 327463625 US |
Business Telephone | 8666100580 |
Code | Practice | License No State |
---|---|---|
106S00000X PRIMARY | Behavioral Health & Social Service Providers Behavior Technician Behavior Technician Behavioral Health & Social Service Providers Behavior Technician |