MEDICARE: YANET OROPESA JIMENEZ

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
2	106S00000X	Behavior Technician	RBT-25-428193	FL

General Provider Information

NPI Number	:	1790571891
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YANET OROPESA JIMENEZ

Provider Business Mailing Address
First Line	:	616 RICHMOND AVE N
Second Line	:
City	:	LEHIGH ACRES
State	:	FL
Zip	:	33972-3921
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	43 BARKLEY CIR STE 101
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33907-7517
Country	:	US
Telephone Number	:	239-839-0323
Fax Number	:

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

Provider Enumeration Date	:	04/16/2025
Last Update Date	:	04/16/2025

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Directions to “ YANET OROPESA JIMENEZ ” Practice Location

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