Healthcare Provider Details

I. General information

NPI: 1104742618
Provider Name (Legal Business Name): ANEISYS ANEIRO RODRIGUEZ BCBA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/29/2026
Last Update Date: 06/29/2026
Certification Date: 06/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7420 SW 153RD CT APT 102
MIAMI FL
33193-1737
US

IV. Provider business mailing address

7420 SW 153RD CT APT 102
MIAMI FL
33193-1737
US

V. Phone/Fax

Practice location:
  • Phone: 305-562-1659
  • Fax:
Mailing address:
  • Phone: 305-562-1659
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-26-91099
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: