Licy Pestana

NPI 1902333495 · on the registry since 2017 · sole proprietor

Practice

Address: 2500 Nw 79th Ave Ste 116
Doral, FL 33122
Phone: (305) 591-7898
Organisation at this address: Ble Inc
Panam Inc
V Med Corp
Juvensa Llc
Pat Med Corp
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 103

Registry record

Primary taxonomy: Behavior Analyst
103K00000X
Licence states on file: FL
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2022-07-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida