Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 106E00000X | Assistant Behavior Analyst |
NPI | 1134649759 |
---|---|
Provider Name | Zuleymis Riesgo Cardoso |
First Address | Homestead, FL 33035-2242 |
Second Address | Homestead, FL 33035-2242 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/06/2017 |
Last Update Date | 24/06/2017 |