Healthcare Provider Details

I. General information

NPI: 1063356244
Provider Name (Legal Business Name): YANA NAVARRO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/16/2026
Last Update Date: 04/16/2026
Certification Date: 04/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

724 SE 4TH TER APT 1
CAPE CORAL FL
33990-1185
US

IV. Provider business mailing address

724 SE 4TH TER APT 1
CAPE CORAL FL
33990-1185
US

V. Phone/Fax

Practice location:
  • Phone: 239-266-5816
  • Fax:
Mailing address:
  • Phone: 239-266-5816
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-25-442415
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: