MEDICARE: YUSLEIDY CARDENACHE ARUCA

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	106S00000X	Behavior Technician	RBT-23-278417	FL

General Provider Information

NPI Number	:	1841076338
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YUSLEIDY CARDENACHE ARUCA

Provider Business Mailing Address
First Line	:	1128 S GAY AVE LOT 167
Second Line	:
City	:	PANAMA CITY
State	:	FL
Zip	:	32404-8742
Country	:	US
Telephone Number	:	850-276-8688
Fax Number	:

Provider Business Practice Location Address
First Line	:	757 JENKS AVE
Second Line	:
City	:	PANAMA CITY
State	:	FL
Zip	:	32401-2529
Country	:	US
Telephone Number	:	850-276-5553
Fax Number	:

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

Provider Enumeration Date	:	08/31/2023
Last Update Date	:	01/18/2024

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Directions to “ YUSLEIDY CARDENACHE ARUCA ” Practice Location

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