Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Penny-Lane Xanadu Ballester

Individual provider Behavior Technician · NPI 1609490523

Penny-Lane Xanadu Ballester is a Behavior Technician in Cutler Bay, Florida. Practices as a sole proprietor. Registered with an NPI since 2020.

In the registry since
2020
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Practice location Address checks out

21352 SW 112th Ave Apt 205
Cutler Bay, FL 33189-2969
Phone: (305) 458-6868
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1609490523
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 5, 2020
Last updated in NPPESJune 5, 2020
Certification dateJune 5, 2020

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