Healthcare Provider Details

I. General information

NPI: 1043198575
Provider Name (Legal Business Name): YANELYS BEATRIZ VOLERO CARMENATE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/22/2025
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7744 HINSDALE DR
TAMPA FL
33615-1504
US

IV. Provider business mailing address

7744 HINSDALE DR
TAMPA FL
33615-1504
US

V. Phone/Fax

Practice location:
  • Phone: 786-299-4162
  • Fax:
Mailing address:
  • Phone: 786-299-4162
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-25-463782
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: