MEDICARE: YISETT FLEITAS BARROSO

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		FL

General Provider Information

NPI Number	:	1528536067
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YISETT FLEITAS BARROSO

Provider Business Mailing Address
First Line	:	6605 N CLARK AVE
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33614-3806
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2513 W HILLSBOROUGH AVE STE 210B
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33614-6122
Country	:	US
Telephone Number	:	813-981-0006
Fax Number	:

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

Provider Enumeration Date	:	11/02/2018
Last Update Date	:	06/10/2025

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Directions to “ YISETT FLEITAS BARROSO ” Practice Location

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