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NPI Code Detail

MEDICARE: YENLYS ALONSO BCBA-1-19-34831

MEDICARE: YENLYS ALONSO BCBA-1-19-34831
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
1103K00000XBehavior Analyst

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 : 1326377870
Entity Type Code : Individual
Provider Name (Legal Business Name) : YENLYS ALONSO BCBA-1-19-34831
Provider Business Mailing Address
First Line : 3701 SW 90TH AVE
Second Line :
City : MIAMI
State : FL
Zip : 33165-4342
Country : US
Telephone Number : 305-310-4959
Fax Number :
Provider Business Practice Location Address
First Line : 12485 SW 137TH AVE STE 106
Second Line :
City : MIAMI
State : FL
Zip : 33186-4215
Country : US
Telephone Number : 786-250-4423
Fax Number : 305-503-5470
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/11/2009
Last Update Date : 04/16/2025

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