Healthcare Provider Details

I. General information

NPI: 1396214508
Provider Name (Legal Business Name): YANILA GONZALEZ FIGUEROA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/16/2018
Last Update Date: 03/06/2026
Certification Date: 03/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3175 S CONGRESS AVE STE 103
PALM SPRINGS FL
33461-2502
US

IV. Provider business mailing address

6310 NW 63RD WAY
PARKLAND FL
33067-1518
US

V. Phone/Fax

Practice location:
  • Phone: 561-729-6631
  • Fax:
Mailing address:
  • Phone: 561-657-6562
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-21-50409
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: