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YENLYS ALONSO BCABA 0-15-6650

Behavioral Analyst

Stuart, Florida

Provider NPI: 1326377870

Provider Information:
 YENLYS  ALONSO BCABA 0-15-6650
Gender: F
Sole Proprietor


Practice Location:
4575 SE DIXIE HWY  STUART, FL 34997 US
Tel: 855-832-6727  Fax: 772-675-9100

Business Mailing Address:
3701 SW 90TH AVE  MIAMI, FL 33165 US
Tel: 305-310-4959  Fax: --

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y106E00000X


Other Provider Identifiers:

IssuerNumberStateType
TIN82-0953911FL01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







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