Provider Demographics
NPI:1568936490
Name:BATISTA, YANET I (RBT)
Entity Type:Individual
Prefix:MRS
First Name:YANET
Middle Name:
Last Name:BATISTA
Suffix:I
Gender:F
Credentials:RBT
Other - Prefix:MRS
Other - First Name:YANET
Other - Middle Name:
Other - Last Name:BATISTA
Other - Suffix:I
Other - Last Name Type:Other Name
Other - Credentials:RBT
Mailing Address - Street 1:11010 NW 21ST CT
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33167-3826
Mailing Address - Country:US
Mailing Address - Phone:305-766-4612
Mailing Address - Fax:
Practice Address - Street 1:1840 W 49TH ST
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33012-2942
Practice Address - Country:US
Practice Address - Phone:786-873-0246
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-01-14
Last Update Date:2019-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician