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Individual

MARIAM LEYVA CORELLA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
4793 N CONGRESS AVE STE 203, BOYNTON BEACH, FL 33426-7937
(561) 772-9107
(561) 448-6063
Mailing address
11857 67TH PL N, WEST PALM BEACH, FL 33412-2061
(561) 574-3852

Taxonomy

Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
BCABA0-25-16760
FL
106S00000X
Behavior Technician

Other

Enumeration date
02/23/2023
Last updated
04/15/2026
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