Most Relevant Information
Provider Data
| NPI Number: | 1003663899 |
| Provider Name: | YAILEN YNFANTE DE LA PUENTE |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: | RBT-24321075 |
Most Important Dates
| Enumeration Date: | 05/01/2024 |
| Last Updated: | 05/01/2024 |
Provider Practice Location
755 W 29TH ST APT 107
HIALEAH
FL
330125640
Practice Location Phone/Fax
| Phone: | 9728097395 |
| Fax: |
Provider Mailing Location
755 W 29TH ST APT 107
HIALEAH
FL
330125640
Provider Mailing Phone/Fax
| Phone: | 9728097395 |
| Fax: |