Most Relevant Information
Provider Data
| NPI Number: | 1003674086 |
| Provider Name: | YANIRYS FUENTE-ESPINOZA |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/13/2024 |
| Last Updated: | 03/13/2024 |
Provider Practice Location
6911 LIBERTY ST
HOLLYWOOD
FL
330243716
Practice Location Phone/Fax
| Phone: | 7869567529 |
| Fax: |
Provider Mailing Location
6911 LIBERTY ST
HOLLYWOOD
FL
330243716
Provider Mailing Phone/Fax
| Phone: | 7869567529 |
| Fax: |