Healthcare Provider Details

I. General information

NPI: 1649180530
Provider Name (Legal Business Name): YARITZEL HOYOS HERNANDEZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/11/2026
Last Update Date: 09/11/2026
Certification Date: 09/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

423 S ANKENY BLVD
ANKENY IA
50023-3141
US

IV. Provider business mailing address

423 S ANKENY BLVD
ANKENY IA
50023-3141
US

V. Phone/Fax

Practice location:
  • Phone: 515-261-2402
  • Fax: 515-414-7642
Mailing address:
  • Phone: 515-261-2402
  • Fax: 515-414-7642

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: