MEDICARE: YANET TELLEZ MALAGON

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

General Provider Information

NPI Number	:	1972460749
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YANET TELLEZ MALAGON

Provider Business Mailing Address
First Line	:	3239 NW 16TH TER
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33125-1817
Country	:	US
Telephone Number	:	305-481-8468
Fax Number	:	786-431-1287

Provider Business Practice Location Address
First Line	:	3239 NW 16TH TER
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33125-1817
Country	:	US
Telephone Number	:	305-481-8468
Fax Number	:	786-431-1133

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

Provider Enumeration Date	:	01/05/2026
Last Update Date	:	01/05/2026

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Directions to “ YANET TELLEZ MALAGON ” Practice Location

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