Individual
LEISY CARIDAD VALDES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
19380 COLLINS AVE APT 1621, SUNNY ISLES BEACH, FL 33160-2457
(305) 915-8428
Mailing address
19380 COLLINS AVE APT 1621, SUNNY ISLES BEACH, FL 33160-2457
(305) 915-8428
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
BCABA-0-22-14037
FL
106S00000X
Behavior Technician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
022614500
—
FL
Enumeration date
09/26/2017
Last updated
02/24/2025
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