Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103K00000X | Behavior Analyst | 1-21-47028 | FL |
N | 106E00000X | Assistant Behavior Analyst | 0-19-10109 | FL |
NPI | 1063965598 |
---|---|
Provider Name | Yoandys Pelaez Figueroa |
First Address | Homestead, FL 33032-8291 |
Second Address | Homestead, FL 33032-8291 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/08/2016 |
Last Update Date | 26/01/2021 |