Healthcare Provider Details

I. General information

NPI: 1548994478
Provider Name (Legal Business Name): YUNEISY MARTINEZ MARTINEZ
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/15/2022
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1432 GRAHAM CIR
LEHIGH ACRES FL
33936-1110
US

IV. Provider business mailing address

816 ILENE RD E
WEST PALM BEACH FL
33415-3760
US

V. Phone/Fax

Practice location:
  • Phone: 305-390-2369
  • Fax:
Mailing address:
  • Phone: 561-303-9514
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number22-223588
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: