Provider Demographics
NPI:1275353948
Name:FERRAN PINEDA, YADIRA S
Entity type:Individual
Prefix:
First Name:YADIRA
Middle Name:S
Last Name:FERRAN PINEDA
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 1:350 QUINCY CT
Mailing Address - Street 2:
Mailing Address - City:ROYAL PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33411-1540
Mailing Address - Country:US
Mailing Address - Phone:561-719-9694
Mailing Address - Fax:
Practice Address - Street 1:350 QUINCY CT
Practice Address - Street 2:
Practice Address - City:ROYAL PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33411-1540
Practice Address - Country:US
Practice Address - Phone:561-719-9694
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-16
Last Update Date:2024-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician