Healthcare Provider Details

I. General information

NPI: 1437807609
Provider Name (Legal Business Name): YANET CASAS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/16/2022
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

92300 OVERSEAS HWY STE 207
TAVERNIER FL
33070-2726
US

IV. Provider business mailing address

2621 FRANKLIN DR
FORT LAUDERDALE FL
33311-6757
US

V. Phone/Fax

Practice location:
  • Phone: 305-764-0366
  • Fax:
Mailing address:
  • Phone: 305-764-0366
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number20-122891
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: