MEDICARE: YENEY SANTANA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103K00000X	Behavior Analyst	BCBA-1-25-85972	FL

General Provider Information

NPI Number	:	1063251676
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YENEY SANTANA

Provider Business Mailing Address
First Line	:	15430 SW 82ND LN APT 611
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33193-5062
Country	:	US
Telephone Number	:	786-681-3790
Fax Number	:

Provider Business Practice Location Address
First Line	:	15430 SW 82ND LN APT 611
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33193-5062
Country	:	US
Telephone Number	:	786-681-3790
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/22/2024
Last Update Date	:	12/06/2025

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Directions to “ YENEY SANTANA ” Practice Location

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