Individual
MRS. YALIT VAN BRAKLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7480 SW 152ND AVE APT 3, MIAMI, FL 33193-2398
(786) 394-3437
Mailing address
7480 SW 152ND AVE APT 3, MIAMI, FL 33193-2398
(786) 394-3437
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
RBT-20-119447
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
V-516-960-84-633-0
—
FL
Enumeration date
03/18/2022
Last updated
03/18/2022
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