Provider Demographics
NPI:1194236877
Name:ALENCAR, DANNA
Entity type:Individual
Prefix:
First Name:DANNA
Middle Name:
Last Name:ALENCAR
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 1:1928 VERNON PL
Mailing Address - Street 2:
Mailing Address - City:DAYTONA BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32119-1643
Mailing Address - Country:US
Mailing Address - Phone:386-290-9466
Mailing Address - Fax:
Practice Address - Street 1:1928 VERNON PL
Practice Address - Street 2:
Practice Address - City:DAYTONA BEACH
Practice Address - State:FL
Practice Address - Zip Code:32119-1643
Practice Address - Country:US
Practice Address - Phone:386-290-9466
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-10-20
Last Update Date:2017-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician