Provider Demographics
NPI:1508479726
Name:PALERMO LINERO, EDELSI S
Entity Type:Individual
Prefix:MRS
First Name:EDELSI
Middle Name:S
Last Name:PALERMO LINERO
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:EDELSI
Other - Middle Name:SUZET
Other - Last Name:PALERMO LINERO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RBT
Mailing Address - Street 1:120 NW 87TH AVE APT F103
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33172-4568
Mailing Address - Country:US
Mailing Address - Phone:786-222-6924
Mailing Address - Fax:
Practice Address - Street 1:120 NW 87TH AVE APT F103
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33172-4568
Practice Address - Country:US
Practice Address - Phone:786-222-6924
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-27
Last Update Date:2022-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRBT-20-119169103K00000X, 106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician
No103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst