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Individual
YANISVELY RODRIGUEZ RAVELO
Active
Individual
YANISVELY RODRIGUEZ RAVELO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-57130
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
021577000
—
FL
05
—
1578084935
—
FL
05
—
R362960905840
—
FL
Enumeration date
07/06/2017
Last updated
09/20/2023
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