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NPI Code Detail

MEDICARE: YAILIN TELLEZ HORTA

MEDICARE:   YAILIN  TELLEZ HORTA
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
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1487519195
Entity Type Code : Individual
Provider Name (Legal Business Name) : YAILIN TELLEZ HORTA
Provider Business Mailing Address
First Line : 427 NE JUANITA CT
Second Line :
City : CAPE CORAL
State : FL
Zip : 33909-1920
Country : US
Telephone Number : 239-203-7284
Fax Number :
Provider Business Practice Location Address
First Line : 427 NE JUANITA CT
Second Line :
City : CAPE CORAL
State : FL
Zip : 33909-1920
Country : US
Telephone Number : 239-203-7284
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/16/2025
Last Update Date : 12/16/2025

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Directions to “ YAILIN TELLEZ HORTA ” Practice Location

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