Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103K00000X | Behavior Analyst | 1-20-45136 | FL |
NPI | 1003415274 |
---|---|
Provider Name | Yunit Juantorena Alen |
First Address | Miami, FL 33194-2755 |
Second Address | Miami, FL 33194-2755 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/10/2020 |
Last Update Date | 20/10/2020 |