Provider Demographics
NPI:1568018240
Name:ARMENTERO, YIHANEYA (BCABA)
Entity Type:Individual
Prefix:
First Name:YIHANEYA
Middle Name:
Last Name:ARMENTERO
Suffix:
Gender:F
Credentials:BCABA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5348 NW 189TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33055-5316
Mailing Address - Country:US
Mailing Address - Phone:305-726-4556
Mailing Address - Fax:
Practice Address - Street 1:5348 NW 189TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33055-5316
Practice Address - Country:US
Practice Address - Phone:305-726-4556
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-17
Last Update Date:2022-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL0-22-13533106E00000X
FLRBT-19-94634106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior Analyst
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL0-22-13533OtherBEHAVIOR ANALYST CERTIFICATION BOARD