Individual
ILEANA VERDECIA MICHELENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8925 SW 148TH ST STE 210, PALMETTO BAY, FL 33176-8084
(786) 250-3311
Mailing address
35 W 36TH PL, HIALEAH, FL 33012-5262
(786) 439-9589
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
0-19-10394
FL
106S00000X
Behavior Technician
—
—
Other
Enumeration date
08/29/2016
Last updated
03/18/2026
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