Individual
AYENDI C POLITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
350 E BLOOMINGDALE AVE, BRANDON, FL 33511-8155
(813) 655-8159
Mailing address
1815 3RD AVE E, PALMETTO, FL 34221-3313
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-26-88045
FL
106E00000X
Assistant Behavior Analyst
—
FL
106S00000X
Behavior Technician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
105364500
—
FL
05
—
127789000
—
FL
Enumeration date
06/25/2019
Last updated
03/10/2026
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