Provider Demographics
NPI:1538844923
Name:TRIANA, DALILA
Entity type:Individual
Prefix:
First Name:DALILA
Middle Name:
Last Name:TRIANA
Suffix:
Gender:M
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 ROYAL PARK DR APT 4B
Mailing Address - Street 2:
Mailing Address - City:OAKLAND PARK
Mailing Address - State:FL
Mailing Address - Zip Code:33309-6527
Mailing Address - Country:US
Mailing Address - Phone:954-600-7412
Mailing Address - Fax:
Practice Address - Street 1:110 ROYAL PARK DR APT 4B
Practice Address - Street 2:
Practice Address - City:OAKLAND PARK
Practice Address - State:FL
Practice Address - Zip Code:33309-6527
Practice Address - Country:US
Practice Address - Phone:954-600-7412
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-21
Last Update Date:2023-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician