Rodriguez Ravelo, Yanisvely
Rodriguez Ravelo, Yanisvely is an sole proprietor health care provider with primary practice located at 46 Iroquois Trl , Ridge NY 11961-1832. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Rodriguez Ravelo, Yanisvely can be contacted via phone (786) 474-7815.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | 1-21-57130 | Florida |
Profile Details
| NPI number | 1578084935 |
|---|---|
| LBN Legal business name | Rodriguez Ravelo, Yanisvely |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 6th, 2017 |
| Last updated | Sep 20th, 2023 - about last year |
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 | 1578084935 | NPPES |
| Florida | MEDICAID | 021577000 | |
| Florida | MEDICAID | 1578084935 | |
| Florida | MEDICAID | R362960905840 |
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