Provider Demographics
NPI:1073271268
Name:GALBAN, YANETT RACHEL (RBT, RPHT)
Entity Type:Individual
Prefix:
First Name:YANETT
Middle Name:RACHEL
Last Name:GALBAN
Suffix:
Gender:F
Credentials:RBT, RPHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20039 NW 62ND AVE
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33015-4859
Mailing Address - Country:US
Mailing Address - Phone:305-298-6034
Mailing Address - Fax:
Practice Address - Street 1:20039 NW 62ND AVE
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33015-4859
Practice Address - Country:US
Practice Address - Phone:305-298-6034
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-12-04
Last Update Date:2021-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRBT-21-185283106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician