Provider Demographics
NPI:1528678224
Name:AROCHA, DALKIS
Entity type:Individual
Prefix:
First Name:DALKIS
Middle Name:
Last Name:AROCHA
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 1:110 SW 108TH AVE APT H6
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33174-1497
Mailing Address - Country:US
Mailing Address - Phone:786-651-4104
Mailing Address - Fax:
Practice Address - Street 1:110 SW 108TH AVE APT H6
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33174-1497
Practice Address - Country:US
Practice Address - Phone:786-651-4104
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-06
Last Update Date:2022-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1-21-57371103K00000X
FL12157371103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst