Individual
EMILY LYNN DE LA PENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCABA
Contact information
Practice address
4282 E 9TH CT, HIALEAH, FL 33013-2426
(786) 709-0048
Mailing address
4282 E 9TH CT, HIALEAH, FL 33013-2426
(786) 709-0048
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
0-25-16080
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
111272300
—
FL
Enumeration date
09/28/2021
Last updated
05/02/2025
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