Provider Demographics
NPI:1376269019
Name:ALDANA OSORIO, MAIRELYS (RBT)
Entity Type:Individual
Prefix:MISS
First Name:MAIRELYS
Middle Name:
Last Name:ALDANA OSORIO
Suffix:
Gender:F
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2476 TIMBER FOREST DR
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33415-3625
Mailing Address - Country:US
Mailing Address - Phone:575-606-8352
Mailing Address - Fax:
Practice Address - Street 1:312 SOUTH DIXIE HIGHWAY
Practice Address - Street 2:ST 202
Practice Address - City:JUPITER
Practice Address - State:FL
Practice Address - Zip Code:33458
Practice Address - Country:US
Practice Address - Phone:561-971-7239
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-14
Last Update Date:2022-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRBT-22-234790103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst