Healthcare Provider Details

I. General information

NPI: 1962924522
Provider Name (Legal Business Name): YENNI CELINA CUETO BCBA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/14/2017
Last Update Date: 05/15/2025
Certification Date: 05/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16201 NE 13TH AVE
NORTH MIAMI BEACH FL
33162-4607
US

IV. Provider business mailing address

17200 NW 64TH AVE APT 201
HIALEAH FL
33015-6317
US

V. Phone/Fax

Practice location:
  • Phone: 786-955-6224
  • Fax:
Mailing address:
  • Phone: 786-532-0898
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-19-36240
License Number StateFL
# 3
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-19-36240
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: