MEDICARE: YENYSBET AGUILA ACUNA

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

General Provider Information

NPI Number	:	1235093071
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YENYSBET AGUILA ACUNA

Provider Business Mailing Address
First Line	:	754 VENICE CIR APT 204
Second Line	:
City	:	LAKE PARK
State	:	FL
Zip	:	33403-1873
Country	:	US
Telephone Number	:	561-891-7413
Fax Number	:

Provider Business Practice Location Address
First Line	:	3898 VIA POINCIANA STE 12
Second Line	:
City	:	LAKE WORTH
State	:	FL
Zip	:	33467-2951
Country	:	US
Telephone Number	:	561-508-5993
Fax Number	:

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

Provider Enumeration Date	:	12/15/2025
Last Update Date	:	03/16/2026

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