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

Primary practice address
46 Iroquois Trl Ridge NY 11961-1832
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578084935 NPPES
Florida MEDICAID 021577000
Florida MEDICAID 1578084935
Florida MEDICAID R362960905840

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