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NPI Code Detail

MEDICARE: YISSEL QUINTERO

MEDICARE:   YISSEL  QUINTERO
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
2103K00000XBehavior Analyst1-21-54533

Other Identifiers

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

General Provider Information

NPI Number : 1588215131
Entity Type Code : Individual
Provider Name (Legal Business Name) : YISSEL QUINTERO
Provider Business Mailing Address
First Line : 15221 SW 80TH ST APT 602
Second Line :
City : MIAMI
State : FL
Zip : 33193-1352
Country : US
Telephone Number : 305-331-0202
Fax Number :
Provider Business Practice Location Address
First Line : 122 NW 3RD AVE
Second Line :
City : CAPE CORAL
State : FL
Zip : 33993-2508
Country : US
Telephone Number : 305-331-0202
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/25/2019
Last Update Date : 02/04/2026

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Directions to “ YISSEL QUINTERO ” Practice Location

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