Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103K00000X | Behavior Analyst | 1-20-41752 | FL |
N | 106E00000X | Assistant Behavior Analyst | 0-18-8868 | FL |
N | 106S00000X | Behavior Technician |
NPI | 1134661572 |
---|---|
Provider Name | Yacsa Fleites Valdes |
First Address | Miami, FL 33157-1575 |
Second Address | Cape Coral, FL 33904-3351 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/11/2016 |
Last Update Date | 28/09/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
019615500 | (05) | FL |