Individual
CINTHYA LUIS LEON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4503 NW 203RD TER, MIAMI GARDENS, FL 33055-1243
(786) 406-3462
Mailing address
4503 NW 203RD TER, MIAMI GARDENS, FL 33055-1243
(786) 406-3462
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
12156708
FL
106S00000X
Behavior Technician
RBT-19-76785
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103573000
—
FL
Enumeration date
06/12/2017
Last updated
07/05/2022
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