MEDICARE: DR. YADELY LEON INFANTE PSY.D.

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	103G00000X	Clinical Neuropsychologist	PY11514	FL
2	103T00000X	Psychologist	PY11514	FL
3	103K00000X	Behavior Analyst	BCBA-20-42493	FL
4	101YM0800X	Mental Health Counselor	MH10632	FL

General Provider Information

NPI Number	:	1396021911
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. YADELY LEON INFANTE PSY.D.

Provider Business Mailing Address
First Line	:	12060 SW 129TH CT STE 201
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33186-4582
Country	:	US
Telephone Number	:	786-615-3349
Fax Number	:	786-615-3299

Provider Business Practice Location Address
First Line	:	12060 SW 129TH CT STE 201
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33186-4582
Country	:	US
Telephone Number	:	786-615-3349
Fax Number	:	786-615-3299

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

Provider Enumeration Date	:	10/27/2011
Last Update Date	:	12/16/2025

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