Organization · NPI-2
Jellyfish Academy Behavioral Interventions LLC
Behavior Analyst · Guaynabo, PR
NPI number1649862871
StatusActive
Last updated in NPPESFeb 17, 2021
Details
- NPI
- 1649862871
- Entity type
- Organization (NPI-2)
- Legal business name
- Jellyfish Academy Behavioral Interventions LLC
- Organization subpart
- No
- Enumeration date
- Feb 9, 2021
- Certification date
- Feb 17, 2021
- Last updated
- Feb 17, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | – | – | Yes |
Practice location
13 Calle Duque De KentGuaynabo, PR 00969-5322
Phone 786-370-2110
Mailing address
Po Box 3260Guaynabo, PR 00970-3260
Phone 786-370-2110
Authorized official
Yelenny Lopez
President
7863702110
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