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NPI Code Detail

MEDICARE: YUANNYS SMITH FONDIN I

MEDICARE:   YUANNYS  SMITH FONDIN I
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
1106S00000XBehavior TechnicianRBT-20-148458FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1285318683
Entity Type Code : Individual
Provider Name (Legal Business Name) : YUANNYS SMITH FONDIN I
Provider Business Mailing Address
First Line : 4402 BOATMAN ST
Second Line :
City : LAKE WORTH
State : FL
Zip : 33461-3417
Country : US
Telephone Number : 786-779-9601
Fax Number :
Provider Business Practice Location Address
First Line : 2151 45TH ST STE 304
Second Line :
City : WEST PALM BEACH
State : FL
Zip : 33407-2011
Country : US
Telephone Number : 561-328-9344
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/14/2023
Last Update Date : 03/10/2026

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Directions to “ YUANNYS SMITH FONDIN I ” Practice Location

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