Daylen Gonzalez, LCSW
Individual provider Active NPI Behavior Analyst · Hialeah, FL
NPI 1376991992 · NPPES record last updated Sep 18, 2024
Key facts
- NPI
- 1376991992
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- License
- 1-19-36825 (FL)
- Practice address
- 2300 W 5TH Way Unit 1
Hialeah, FL 33010-2180 - Phone
- (786) 873-0460
- NPI assigned
- May 25, 2016
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW14476 | FL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| A World Ahead, Inc. | Behavior Analyst | Current | Accepting new patients |
| A World Ahead, Inc. | Behavior Analyst | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | SW14476 | FL | |
| Behavior Analyst | 103K00000X | 1-19-36825 | FL | Yes |
Addresses
Primary practice location
2300 W 5TH Way Unit 1
Hialeah, FL 33010-2180
Mailing address
1246 Lincoln St
Hollywood, FL 33019-1049
Phone (786) 873-0460
Other names
- Daylen Garcia
Other providers in Hialeah, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 18, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.