Provider Demographics
NPI:1841170065
Name:CHONG CERVERA, DAYANA
Entity type:Individual
Prefix:
First Name:DAYANA
Middle Name:
Last Name:CHONG CERVERA
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 1:5077 NW 7TH ST APT 4-1416
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33126-3469
Mailing Address - Country:US
Mailing Address - Phone:786-707-1242
Mailing Address - Fax:
Practice Address - Street 1:5077 NW 7TH ST APT 4-1416
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33126-3469
Practice Address - Country:US
Practice Address - Phone:786-707-1242
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-08
Last Update Date:2025-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRBT-25-426572106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician