Healthcare Provider Details

I. General information

NPI: 1023945334
Provider Name (Legal Business Name): YESENIA VELAZQUEZ SANZ
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

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

III. Provider practice location address

1004 SW 7TH ST APT 1004
MIAMI FL
33130-3106
US

IV. Provider business mailing address

1004 SW 7TH ST APT 1004
MIAMI FL
33130-3106
US

V. Phone/Fax

Practice location:
  • Phone: 305-744-1608
  • Fax:
Mailing address:
  • Phone: 305-744-1608
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-26-526404
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: