Provider Demographics
NPI:1821786922
Name:BROCHE PEREZ, YUNIER
Entity type:Individual
Prefix:
First Name:YUNIER
Middle Name:
Last Name:BROCHE PEREZ
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2897 NEW YORK ST
Mailing Address - Street 2:
Mailing Address - City:PALM SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33406-4222
Mailing Address - Country:US
Mailing Address - Phone:561-215-0170
Mailing Address - Fax:
Practice Address - Street 1:2897 NEW YORK ST
Practice Address - Street 2:
Practice Address - City:PALM SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33406-4222
Practice Address - Country:US
Practice Address - Phone:561-215-0170
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-26
Last Update Date:2025-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RBT-23-270675106S00000X
0-25-15880106E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior Analyst
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician