Healthcare Provider Details

I. General information

NPI: 1992624563
Provider Name (Legal Business Name): YANET GARCIA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

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

III. Provider practice location address

4735 25TH AVE SW
NAPLES FL
34116-7769
US

IV. Provider business mailing address

4735 25TH AVE SW
NAPLES FL
34116-7769
US

V. Phone/Fax

Practice location:
  • Phone: 239-776-0225
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-26-2829202
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: