Healthcare Provider Details

I. General information

NPI: 1235748716
Provider Name (Legal Business Name): YURIMA FIORENZANO BCABA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/30/2020
Last Update Date: 05/07/2026
Certification Date: 05/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4236 W LINEBAUGH AVE
TAMPA FL
33624-5241
US

IV. Provider business mailing address

11502 SMOKETHORN DR
RIVERVIEW FL
33579-7025
US

V. Phone/Fax

Practice location:
  • Phone: 813-557-1525
  • Fax:
Mailing address:
  • Phone: 786-390-7395
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106E00000X
TaxonomyAssistant Behavior Analyst
License NumberBCABA-0-26-16983
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: