Healthcare Provider Details

I. General information

NPI: 1093645616
Provider Name (Legal Business Name): YUNEY PEREZ MORALES
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/23/2026
Last Update Date: 08/14/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12501 WORLD PLAZA LN BLDG 51
FORT MYERS FL
33907-3991
US

IV. Provider business mailing address

12375 COUNTRY DAY CIR
FORT MYERS FL
33913-7625
US

V. Phone/Fax

Practice location:
  • Phone: 239-349-3139
  • Fax:
Mailing address:
  • Phone: 614-323-7105
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-26-539018
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: