Corzo Pumar, Anelys
Corzo Pumar, Anelys is an sole proprietor health care provider with primary practice located at 19265 Nw 47Th Pl , Miami Gardens FL 33055-2012. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Assistant Behavior Analyst, Behavioral Health & Social Service Providers / Behavior Technician. Behavioral Health & Social Service Providers / Assistant Behavior Analyst is her primary health care specialty. Corzo Pumar, Anelys can be contacted via phone (239) 234-3604.Contact Information
Primary practice address
19265 Nw 47Th Pl
Miami Gardens FL 33055-2012
Phone: (239) 234-3604
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Assistant Behavior Analyst | 106E00000X | 0-21-12630 | Florida |
Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X | RBT-19-81911 | Florida |
Profile Details
NPI number | 1528612991 |
---|---|
LBN Legal business name | Corzo Pumar, Anelys |
Credentials | |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jul 24th, 2019 |
Last updated | Sep 2nd, 2022 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1528612991 | NPPES |
Florida | MEDICAID | 103775900 |
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