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Individual

RAYSELIS ALFONSO PENATE

Active
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Individual

RAYSELIS ALFONSO PENATE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-17-25353
FL
235Z00000X
Speech-Language Pathologist
SZ11169
FL
235Z00000X
Speech-Language Pathologist
—
NULL

Other

Enumeration date
04/11/2017
Last updated
02/11/2025
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