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Individual
YAMISELA MIRANDA ROQUE
Active
Individual
YAMISELA MIRANDA ROQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-24-77442
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
115952900
—
FL
Enumeration date
10/13/2022
Last updated
11/17/2024
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