Individual
YEISEL DE LA RUA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15184 88TH PL N, LOXAHATCHEE, FL 33470-4338
(561) 267-6758
(561) 594-1835
Mailing address
15184 88TH PL N, LOXAHATCHEE, FL 33470-4338
(561) 267-6758
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
RBT-23-254029
FL
Other
Enumeration date
06/22/2020
Last updated
01/23/2023
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