Provider Demographics
NPI:1548098585
Name:GARCIA CARDENAS, DANNY (BC)
Entity type:Individual
Prefix:
First Name:DANNY
Middle Name:
Last Name:GARCIA CARDENAS
Suffix:
Gender:M
Credentials:BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2821 N 73RD AVE
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33024-2733
Mailing Address - Country:US
Mailing Address - Phone:754-703-1420
Mailing Address - Fax:
Practice Address - Street 1:2821 N 73RD AVE
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33024-2733
Practice Address - Country:US
Practice Address - Phone:754-703-1420
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-22
Last Update Date:2024-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRBT-24-363556106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician