Provider Demographics
NPI:1770399313
Name:PEREZ YANES, YULIANET
Entity type:Individual
Prefix:
First Name:YULIANET
Middle Name:
Last Name:PEREZ YANES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9714 SW 146TH AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33186-8411
Mailing Address - Country:US
Mailing Address - Phone:786-424-1527
Mailing Address - Fax:
Practice Address - Street 1:9714 SW 146TH AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33186-8411
Practice Address - Country:US
Practice Address - Phone:786-424-1527
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-09
Last Update Date:2024-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician