Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103K00000X | Behavior Analyst |
NPI | 1013318468 |
---|---|
Provider Name | Daniel Cymbal |
First Address | Poinciana, FL 34759-3275 |
Second Address | Gulf Breeze, FL 32563-3350 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/09/2014 |
Last Update Date | 24/09/2019 |