Individual
ANA MAYLETH PERALTA ENCISO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6102 NW 114TH CT APT 102, DORAL, FL 33178-4502
(786) 718-4750
Mailing address
6102 NW 114TH CT APT 102, DORAL, FL 33178-4502
(786) 718-4750
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-20-112472
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RBT-20-112472
—
FL
Enumeration date
02/24/2020
Last updated
03/19/2026
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