PENNY-LANE BALLESTER

Behavior Technician

Active Individual
NPI: 1609490523

Practice Address

21352 SW 112TH AVE APT 205
Cutler Bay, FL 33189

Phone: (305) 458-6868

Specialties

Specialty Code Primary License
Behavior Technician 106S00000X Yes -

Frequently Asked Questions

NPI 1609490523 is the National Provider Identifier for PENNY-LANE BALLESTER, a Behavior Technician provider located in Cutler Bay, FL. This NPI was enumerated on June 5, 2020.
PENNY-LANE BALLESTER practices at 21352 SW 112TH AVE APT 205, Cutler Bay, FL 33189.

Quick Facts

NPI
1609490523
Type
Individual
Enumerated
Jun 5, 2020
Last Updated
Jun 5, 2020

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