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NPI Code Detail

MEDICARE: YESSENIA DURAN BCBA

MEDICARE: YESSENIA DURAN BCBA
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
1103K00000XBehavior Analyst1-21-49931FL

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 : 1649714148
Entity Type Code : Individual
Provider Name (Legal Business Name) : YESSENIA DURAN BCBA
Provider Business Mailing Address
First Line : 19001 SW 106TH AVE UNIT 107-108
Second Line :
City : CUTLER BAY
State : FL
Zip : 33157-7669
Country : US
Telephone Number : 305-378-5775
Fax Number : 305-378-5772
Provider Business Practice Location Address
First Line : 19001 SW 106TH AVE UNIT 107108
Second Line :
City : CUTLER BAY
State : FL
Zip : 33157-7669
Country : US
Telephone Number : 305-378-5775
Fax Number : 305-378-5772
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/19/2016
Last Update Date : 01/13/2026

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Directions to “ YESSENIA DURAN BCBA” Practice Location

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