# YANEE'S PLACE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407272339
- **Authorized official:** TIYANA PORTIS (CEO)
- **Authorized official phone:** (508) 740-8091

## Contact information

- **Practice address:** 738 MAIN ST, WALTHAM, MA 02451-0616
- **Practice address phone:** (617) 319-8432
- **Mailing address:** 127 BLUE HILLS PKWY, MILTON, MA 02186-1123
- **Mailing address phone:** (508) 740-8091

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 252Y00000X | Early Intervention Provider Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 03/17/2014
- **Last updated:** 03/17/2014