Provider Demographics
NPI:1326777897
Name:YBARRA PEREZ, YELAYNE
Entity Type:Individual
Prefix:
First Name:YELAYNE
Middle Name:
Last Name:YBARRA PEREZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16701 E EPSON DR
Mailing Address - Street 2:
Mailing Address - City:LOXAHATCHEE
Mailing Address - State:FL
Mailing Address - Zip Code:33470-4168
Mailing Address - Country:US
Mailing Address - Phone:561-577-5879
Mailing Address - Fax:
Practice Address - Street 1:2240 PALM LAKES BLVD
Practice Address - Street 2:SUITE-304E
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33470-4168
Practice Address - Country:US
Practice Address - Phone:954-734-4708
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-08
Last Update Date:2022-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician