MEDICARE: YOLADIS R ABREU

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	103K00000X	Behavior Analyst	1-26-88995	FL

Other Identifiers

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

General Provider Information

NPI Number	:	1295392827
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YOLADIS R ABREU

Provider Business Mailing Address
First Line	:	162 VERONA PL
Second Line	:
City	:	DAVENPORT
State	:	FL
Zip	:	33897-7463
Country	:	US
Telephone Number	:	786-210-8996
Fax Number	:

Provider Business Practice Location Address
First Line	:	162 VERONA PL
Second Line	:
City	:	DAVENPORT
State	:	FL
Zip	:	33897-7463
Country	:	US
Telephone Number	:	786-210-8996
Fax Number	:

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

Provider Enumeration Date	:	05/20/2019
Last Update Date	:	04/07/2026

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Directions to “ YOLADIS R ABREU ” Practice Location

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