Healthcare Provider Details

I. General information

NPI: 1619451945
Provider Name (Legal Business Name): YELANIS HOYOS PEREZ
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/21/2018
Last Update Date: 11/03/2022
Certification Date: 11/03/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

708 GOODLETTE-FRANK RD N
NAPLES FL
34102-5644
US

IV. Provider business mailing address

3310 BERMUDA ISLE CIR APT 238
NAPLES FL
34109-2644
US

V. Phone/Fax

Practice location:
  • Phone: 239-351-0675
  • Fax:
Mailing address:
  • Phone: 305-842-4669
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106E00000X
TaxonomyAssistant Behavior Analyst
License NumberRBT-18-65128
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-18-65128
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: