Healthcare Provider Details

I. General information

NPI: 1447184221
Provider Name (Legal Business Name): CARLOS ARTURO YANES AZOR
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

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

III. Provider practice location address

1977 45TH ST SW
NAPLES FL
34116-5823
US

IV. Provider business mailing address

1977 45TH ST SW
NAPLES FL
34116-5823
US

V. Phone/Fax

Practice location:
  • Phone: 305-954-5811
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-26-538596
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: