Provider Demographics
NPI:1326898677
Name:BALAN VECINO, YENIA DEL CARMEN (RBT)
Entity Type:Individual
Prefix:MISS
First Name:YENIA
Middle Name:DEL CARMEN
Last Name:BALAN VECINO
Suffix:
Gender:F
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:630 W 18TH ST APT 305
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33010-2453
Mailing Address - Country:US
Mailing Address - Phone:786-397-2839
Mailing Address - Fax:
Practice Address - Street 1:630 W 18TH ST APT 305
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33010-2453
Practice Address - Country:US
Practice Address - Phone:786-397-2839
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-26
Last Update Date:2024-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRBT-24-336384106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician