Provider Demographics
NPI:1932939410
Name:FLEITES, YANELYS
Entity type:Individual
Prefix:
First Name:YANELYS
Middle Name:
Last Name:FLEITES
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 1:4734 NW 195TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33055-2049
Mailing Address - Country:US
Mailing Address - Phone:561-816-7845
Mailing Address - Fax:
Practice Address - Street 1:4734 NW 195TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33055-2049
Practice Address - Country:US
Practice Address - Phone:561-816-7845
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-07
Last Update Date:2024-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician