Provider Demographics
NPI:1508610478
Name:GUERRA PEREZ, YENY SR (RBT -24-332155)
Entity Type:Individual
Prefix:MISS
First Name:YENY
Middle Name:
Last Name:GUERRA PEREZ
Suffix:SR
Gender:F
Credentials:RBT -24-332155
Other - Prefix:MISS
Other - First Name:YENY
Other - Middle Name:
Other - Last Name:GUERRA PEREZ
Other - Suffix:SR
Other - Last Name Type:Professional Name
Other - Credentials:RBT-24-332155
Mailing Address - Street 1:6121 W 24TH AVE APT 102
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33016-3998
Mailing Address - Country:US
Mailing Address - Phone:392-016-6192
Mailing Address - Fax:
Practice Address - Street 1:6121 W 24TH AVE APT 102
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33016-3998
Practice Address - Country:US
Practice Address - Phone:392-016-6192
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-16
Last Update Date:2024-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRBT-24-332155106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician