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Contact Information

RAYSELIS ALFONSO PENATE
14000 SW 153RD PL
MIAMI, FL33196-4652
 Phone: 786-554-1676
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Behavior Analyst

103K00000X
 

Speech-Language Pathologist

235Z00000X 15 Speech Language Pathologist
Indicates primary specialty

NPI Profile & details for RAYSELIS ALFONSO PENATE · (Female)

NPI Number 1548793037
Status Active
Credentials
Entity Individual
Enumeration date 04/11/2017
Last updated 02/11/2025 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • FL License # 1-17-25353
  • FL License # SZ11169
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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