MEDICARE: YUNEY PEREZ MORALES

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	106S00000X	Behavior Technician	RBT-26-539018	FL

General Provider Information

NPI Number	:	1093645616
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YUNEY PEREZ MORALES

Provider Business Mailing Address
First Line	:	12375 COUNTRY DAY CIR
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33913-7625
Country	:	US
Telephone Number	:	614-323-7105
Fax Number	:

Provider Business Practice Location Address
First Line	:	12375 COUNTRY DAY CIR
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33913-7625
Country	:	US
Telephone Number	:	614-323-7105
Fax Number	:

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

Provider Enumeration Date	:	05/23/2026
Last Update Date	:	05/23/2026

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