MEDICARE: KENNIE NATHANIEL YANCE

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-25-421209	FL

General Provider Information

NPI Number	:	1093673998
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KENNIE NATHANIEL YANCE

Provider Business Mailing Address
First Line	:	221 NE 6TH AVE
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33010-5019
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	221 NE 6TH AVE
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33010-5019
Country	:	US
Telephone Number	:	786-635-9815
Fax Number	:

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

Provider Enumeration Date	:	01/12/2026
Last Update Date	:	01/12/2026

Similar Medicare Providers

1215750195 — YUDEISY CARDENAS
Practice Location Address:

251 NE 6TH AVE
HIALEAH, FL
33010-5019

Practice Phone: 786-624-9279
Practice Fax:

1851842181 — DENTAL PARTNER GROUP, PA
Practice Location Address:

1124 W 29TH ST
HIALEAH, FL
33012-5019

Practice Phone: 305-885-7767
Practice Fax:

1801758487 — ACOSTALL DENTAL LLC
Practice Location Address:

1124 W 29TH ST
HIALEAH, FL
33012-5019

Practice Phone: 305-885-7767
Practice Fax: 305-885-7956

1184456311 — STHEFANI MARTINEZ LEON
Practice Location Address:

250 E 12TH ST
HIALEAH, FL
33010-3506

Practice Phone: 786-852-0519
Practice Fax:

1902764434 — JAIDEL GONZALEZ
Practice Location Address:

45 W 25TH ST APT 1
HIALEAH, FL
33010-1728

Practice Phone: 305-890-2501
Practice Fax: 305-890-2501

1467310771 — XCLUSIVE SENIOR DAY CARE CENTER II LLC
Practice Location Address:

705 E 8TH AVE
HIALEAH, FL
33010-4613

Practice Phone: 305-320-9820
Practice Fax:

Directions to “ KENNIE NATHANIEL YANCE ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.