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Individual

LEYANI BENITEZ LOPEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
13383 SW 42ND ST, MIAMI, FL 33175-3204
(786) 534-8408
(786) 773-2612
Mailing address
9441 SW 4TH ST APT 206, MIAMI, FL 33174-2018

Taxonomy

Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
RBT-20-119393
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
107554900
FL
Enumeration date
06/02/2022
Last updated
06/02/2022
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