Healthcare Provider Details

I. General information

NPI: 1609183706
Provider Name (Legal Business Name): YOLANDA CORTES
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/10/2010
Last Update Date: 01/06/2026
Certification Date: 01/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14709 GREEN VALLEY BLVD
CLERMONT FL
34711-8549
US

IV. Provider business mailing address

14709 GREEN VALLEY BLVD
CLERMONT FL
34711-8549
US

V. Phone/Fax

Practice location:
  • Phone: 646-732-4265
  • Fax:
Mailing address:
  • Phone: 646-732-4265
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License NumberLBA3290
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: