Provider Demographics
NPI:1659893022
Name:PINEIRO GONZALEZ, YANELIS (RBT)
Entity Type:Individual
Prefix:
First Name:YANELIS
Middle Name:
Last Name:PINEIRO GONZALEZ
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 1:249 S ROYAL POINCIANA BLVD APT 106
Mailing Address - Street 2:
Mailing Address - City:MIAMI SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33166-6183
Mailing Address - Country:US
Mailing Address - Phone:305-305-7576
Mailing Address - Fax:
Practice Address - Street 1:249 S ROYAL POINCIANA BLVD APT 106
Practice Address - Street 2:
Practice Address - City:MIAMI SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33166-6183
Practice Address - Country:US
Practice Address - Phone:305-305-7576
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-07-07
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRBT-19-83722106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician