Lisset De La Caridad Alfonso Penate

NPI #1942891122 in Miramar, Florida

Provider Information

NPI Number: 1942891122
Entity Type: Individual
Name: Lisset De La Caridad Alfonso Penate
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Jan 29, 2021
Last Updated: Jan 29, 2021

Practice Location

Address: 6114 SW 19TH ST
City: Miramar
State: Florida
ZIP Code: 33023-2915
Phone: (786) 515-4851

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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