Individual
YANELKYS GONZALEZ CHAVIANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
710 SW 47TH ST APT 103, CAPE CORAL, FL 33914-6481
(616) 419-7090
Mailing address
710 SW 47TH ST APT 103, CAPE CORAL, FL 33914-6481
(616) 419-7090
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
07/28/2022
Last updated
04/30/2025
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