Provider Demographics
NPI:1174828032
Name:LEON-ENRIQUEZ, YANERYS (PHD, BCBA)
Entity Type:Individual
Prefix:DR
First Name:YANERYS
Middle Name:
Last Name:LEON-ENRIQUEZ
Suffix:
Gender:F
Credentials:PHD, BCBA
Other - Prefix:DR
Other - First Name:YANERYS
Other - Middle Name:
Other - Last Name:LEON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHD, BCBA
Mailing Address - Street 1:4537 SHERIDAN AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33140-3144
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1600 S ANDREWS AVE
Practice Address - Street 2:SUITE 1090 WEST WING
Practice Address - City:FT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33316-2510
Practice Address - Country:US
Practice Address - Phone:954-523-2727
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-01-24
Last Update Date:2014-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst