Healthcare Provider Details

I. General information

NPI: 1043723984
Provider Name (Legal Business Name): YVETTE M LLANO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/14/2017
Last Update Date: 12/26/2024
Certification Date: 12/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3584 GATLIN PLACE CIR
ORLANDO FL
32812-7753
US

IV. Provider business mailing address

3584 GATLIN PLACE CIR
ORLANDO FL
32812-7753
US

V. Phone/Fax

Practice location:
  • Phone: 786-610-9463
  • Fax:
Mailing address:
  • Phone: 786-610-9463
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106E00000X
TaxonomyAssistant Behavior Analyst
License Number0-19-10326
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-21-48507
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: