MEDICARE: YAREINYS BLANCO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106S00000X	Behavior Technician	RBT-22-202697	FL

General Provider Information

NPI Number	:	1104570068
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YAREINYS BLANCO

Provider Business Mailing Address
First Line	:	13715 SW 51ST TER
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33175-5176
Country	:	US
Telephone Number	:	786-282-3535
Fax Number	:

Provider Business Practice Location Address
First Line	:	13715 SW 51ST TER
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33175-5176
Country	:	US
Telephone Number	:	786-282-3535
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/09/2022
Last Update Date	:	02/09/2022

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Directions to “ YAREINYS BLANCO ” Practice Location

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