Provider Demographics
NPI:1679139695
Name:CANTO GALAN, YANELYS (RBT)
Entity Type:Individual
Prefix:
First Name:YANELYS
Middle Name:
Last Name:CANTO GALAN
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 1:18031 NW 47TH CT
Mailing Address - Street 2:
Mailing Address - City:MIAMI GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33055-3204
Mailing Address - Country:US
Mailing Address - Phone:786-267-4405
Mailing Address - Fax:
Practice Address - Street 1:18031 NW 47TH CT
Practice Address - Street 2:
Practice Address - City:MIAMI GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33055-3204
Practice Address - Country:US
Practice Address - Phone:786-267-4405
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-05-15
Last Update Date:2023-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLBCBA-12369529103K00000X
FLRBT-18-66572106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLRBT-18-66572OtherRBT