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NPI Code Detail

MEDICARE: YANICEL ALMEIDA PENA

MEDICARE:   YANICEL  ALMEIDA PENA
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 TechnicianRBT-25-479470FL

General Provider Information

NPI Number : 1649138165
Entity Type Code : Individual
Provider Name (Legal Business Name) : YANICEL ALMEIDA PENA
Provider Business Mailing Address
First Line : 714 JACKSON AVE
Second Line :
City : LEHIGH ACRES
State : FL
Zip : 33972-4422
Country : US
Telephone Number : 561-895-3392
Fax Number :
Provider Business Practice Location Address
First Line : 714 JACKSON AVE
Second Line :
City : LEHIGH ACRES
State : FL
Zip : 33972-4422
Country : US
Telephone Number : 561-895-3392
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/13/2026
Last Update Date : 01/13/2026

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Directions to “ YANICEL ALMEIDA PENA ” Practice Location

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