MEDICARE: YANEDIS SALGADO TROYA BCBA

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	1-26-90376	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1124763727
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YANEDIS SALGADO TROYA BCBA

Provider Business Mailing Address
First Line	:	327 SW BECKER RD
Second Line	:
City	:	PORT ST LUCIE
State	:	FL
Zip	:	34953-7525
Country	:	US
Telephone Number	:	786-473-2466
Fax Number	:

Provider Business Practice Location Address
First Line	:	327 SW BECKER RD
Second Line	:
City	:	PORT ST LUCIE
State	:	FL
Zip	:	34953-7525
Country	:	US
Telephone Number	:	786-473-2466
Fax Number	:

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

Provider Enumeration Date	:	04/28/2022
Last Update Date	:	06/15/2026

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