Provider Demographics
NPI:1508527086
Name:CLAVERO PEREZ, YISEL A (BCABA)
Entity type:Individual
Prefix:
First Name:YISEL
Middle Name:A
Last Name:CLAVERO PEREZ
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 1:11301 HARBOR WAY APT 1741
Mailing Address - Street 2:
Mailing Address - City:LARGO
Mailing Address - State:FL
Mailing Address - Zip Code:33774-3782
Mailing Address - Country:US
Mailing Address - Phone:551-234-9333
Mailing Address - Fax:
Practice Address - Street 1:8340 W HILLSBOROUGH AVE
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33615-3806
Practice Address - Country:US
Practice Address - Phone:813-443-0149
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-06
Last Update Date:2025-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior Analyst