Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103K00000X | Behavior Analyst | 1-20-44026 | FL |
NPI | 1003345604 |
---|---|
Provider Name | Yanaiky Caridad Gutierrez De Leon |
First Address | Miami, FL 33135-1256 |
Second Address | Miami, FL 33135-1256 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/06/2017 |
Last Update Date | 13/10/2020 |