Individual
ANA YITSE OTERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
2035 NW FLAGLER TER APT 106, MIAMI, FL 33125-5389
(786) 547-1804
Mailing address
2035 NW FLAGLER TER APT 106, MIAMI, FL 33125-5389
(786) 547-1804
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
022875200
—
FL
Enumeration date
04/02/2018
Last updated
12/04/2018
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