Individual
ANA ROSA PENICHET-CASANAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
19001 SW 106TH AVE STE C103, CUTLER BAY, FL 33157-7669
(786) 523-2352
Mailing address
14086 SW 260TH ST APT 103, HOMESTEAD, FL 33032-6660
(786) 564-8450
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-50713
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1-21-50713
—
FL
Enumeration date
07/20/2021
Last updated
07/20/2021
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