Provider Demographics
NPI:1609660059
Name:MANRIQUE AULI, LENY CAROLINA
Entity type:Individual
Prefix:
First Name:LENY
Middle Name:CAROLINA
Last Name:MANRIQUE AULI
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2562 NOUVEAU WAY
Mailing Address - Street 2:
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34741-7856
Mailing Address - Country:US
Mailing Address - Phone:786-690-9645
Mailing Address - Fax:
Practice Address - Street 1:2562 NOUVEAU WAY
Practice Address - Street 2:
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34741-7856
Practice Address - Country:US
Practice Address - Phone:786-690-9645
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-08
Last Update Date:2025-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRBT-25-416693106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician