Provider Demographics
NPI:1740073683
Name:NILIA, CAMILA
Entity type:Individual
Prefix:
First Name:CAMILA
Middle Name:
Last Name:NILIA
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 1:1200 SE 2ND AVE
Mailing Address - Street 2:
Mailing Address - City:DANIA BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33004-4601
Mailing Address - Country:US
Mailing Address - Phone:786-419-2390
Mailing Address - Fax:
Practice Address - Street 1:1200 SE 2ND AVE
Practice Address - Street 2:
Practice Address - City:DANIA BEACH
Practice Address - State:FL
Practice Address - Zip Code:33004-4601
Practice Address - Country:US
Practice Address - Phone:786-419-2390
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-23
Last Update Date:2025-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician