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NPI Code Detail

MEDICARE: YOAN A SANTOS SERNA

MEDICARE: YOAN A SANTOS SERNA
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-24-321999

General Provider Information

NPI Number : 1851107577
Entity Type Code : Individual
Provider Name (Legal Business Name) : YOAN A SANTOS SERNA
Provider Business Mailing Address
First Line : 4509 BEE RIDGE RD UNIT E
Second Line :
City : SARASOTA
State : FL
Zip : 34233-2539
Country : US
Telephone Number : 941-914-5272
Fax Number :
Provider Business Practice Location Address
First Line : 4509 BEE RIDGE RD UNIT E
Second Line :
City : SARASOTA
State : FL
Zip : 34233-2539
Country : US
Telephone Number : 941-914-5272
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/06/2024
Last Update Date : 12/06/2024

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Directions to “ YOAN A SANTOS SERNA ” Practice Location

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