MEDICARE: YESENIA PADILLA ROMERO

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	RBT-24-358285	FL

General Provider Information

NPI Number	:	1922844612
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YESENIA PADILLA ROMERO

Provider Business Mailing Address
First Line	:	2350 LANTANA RD APT 3109
Second Line	:
City	:	LAKE WORTH
State	:	FL
Zip	:	33462-0925
Country	:	US
Telephone Number	:	561-818-5122
Fax Number	:

Provider Business Practice Location Address
First Line	:	2350 LANTANA RD APT 3109
Second Line	:
City	:	LAKE WORTH
State	:	FL
Zip	:	33462-0925
Country	:	US
Telephone Number	:	561-818-5122
Fax Number	:

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

Provider Enumeration Date	:	07/02/2024
Last Update Date	:	07/02/2024

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Directions to “ YESENIA PADILLA ROMERO ” Practice Location

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