Provider Demographics
NPI:1235017112
Name:MORALES DAVILA, ADAMARY
Entity type:Individual
Prefix:
First Name:ADAMARY
Middle Name:
Last Name:MORALES DAVILA
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 1:2281 S SHERMAN CIR APT B209
Mailing Address - Street 2:
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33025-2220
Mailing Address - Country:US
Mailing Address - Phone:786-906-5419
Mailing Address - Fax:
Practice Address - Street 1:2281 S SHERMAN CIR APT B209
Practice Address - Street 2:
Practice Address - City:MIRAMAR
Practice Address - State:FL
Practice Address - Zip Code:33025-2220
Practice Address - Country:US
Practice Address - Phone:786-906-5419
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-26
Last Update Date:2025-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRBT-25-464361106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician