Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103K00000X | Behavior Analyst | ||
N | 106S00000X | Behavior Technician | FL |
NPI | 1003420209 |
---|---|
Provider Name | Isvel Rodriguez Delgado |
First Address | Homestead, FL 33033-5558 |
Second Address | Homestead, FL 33032-3335 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/09/2020 |
Last Update Date | 23/06/2021 |