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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528612991 NPPES
Florida MEDICAID 103775900

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