Most Relevant Information
Provider Data
| NPI Number: | 1003676131 |
| Provider Name: | YANELYS RIVERO DOMINGUEZ |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: | RBT-24-332524 |
Most Important Dates
| Enumeration Date: | 03/19/2024 |
| Last Updated: | 03/19/2024 |
Provider Practice Location
1465 NE 123RD ST
NORTH MIAMI
FL
331616054
Practice Location Phone/Fax
| Phone: | 7868482430 |
| Fax: |
Provider Mailing Location
1465 NE 123RD ST
NORTH MIAMI
FL
331616054
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |