Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103K00000X | Behavior Analyst | 1-21-49966 | FL |
N | 106E00000X | Assistant Behavior Analyst |
NPI | 1104373091 |
---|---|
Provider Name | Yordalys Rodriguez Perez |
First Address | Miami, FL 33129-2339 |
Second Address | Miami, FL 33129-2339 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/09/2016 |
Last Update Date | 28/05/2021 |