Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 106E00000X | Assistant Behavior Analyst | RBT-20-120296 | FL |
NPI | 1104436336 |
---|---|
Provider Name | Yosvany J Palomino |
First Address | Pembroke Pines, FL 33029-3152 |
Second Address | Hialeah, FL 33016-5770 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/08/2020 |
Last Update Date | 03/08/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
RBT-20-120396 | BACB (01) | FL |