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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

PENNY-LANE XANADU BALLESTER

Active Sole Proprietor

PENNY-LANE XANADU BALLESTER is a Behavior Technician healthcare provider located in CUTLER BAY, Florida. NPI 1609490523 is currently active in the NPPES registry. Verify at CMS.

Behavior Technician · CUTLER BAY, FL

Registration Details

NPI Number
1609490523
Provider Type
Individual
Gender
Female
NPI Issued
Jun 5, 2020 (6.1944500317424 yrs)
Last Updated
Jun 5, 2020
Sole Proprietor
Yes

Practice Information

Address
21352 SW 112TH AVE APT 205
CUTLER BAY, FL, 331892969
Browse FL providers · Browse ZIP 33189
Phone
3054586868
Primary Specialty
Behavior Technician
106S00000X

Other Behavior Technician Providers in CUTLER BAY, FL

Name Credential NPI
MARIA RICARDO 1700245909
MRS. AMINTA ESTHER ELLES 1376990010
ORRENY CONCEPCION 1902257827
MARIA I FRANCO DIAZ 1174974083
DAINERYS GOMEZ RODRIGUEZ 1952752867
NANCY I HERNANDEZ 1629429923
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.