MEDICARE: YESDEL BENITEZ POSADA

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-24-375740	FL

General Provider Information

NPI Number	:	1235965302
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YESDEL BENITEZ POSADA

Provider Business Mailing Address
First Line	:	845 W 74TH ST APT 124
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33014-4783
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	845 W 74TH ST APT 124
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33014-4783
Country	:	US
Telephone Number	:	979-219-7078
Fax Number	:

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

Provider Enumeration Date	:	09/13/2024
Last Update Date	:	09/13/2024

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Directions to “ YESDEL BENITEZ POSADA ” Practice Location

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