Provider Demographics
NPI:1013454750
Name:LARIN FONSECA, YAIMA (BCBA)
Entity Type:Individual
Prefix:MS
First Name:YAIMA
Middle Name:
Last Name:LARIN FONSECA
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7013 LONE OAK BLVD
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34109-8875
Mailing Address - Country:US
Mailing Address - Phone:941-879-1683
Mailing Address - Fax:
Practice Address - Street 1:7013 LONE OAK BLVD
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34109-8875
Practice Address - Country:US
Practice Address - Phone:941-879-1683
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-01-19
Last Update Date:2021-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL0-20-10996106E00000X
FLRBT-18-58235106S00000X
FL1-21-54762103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior Analyst
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician