Provider Demographics
NPI:1316821804
Name:GONZALEZ CESPEDES, YANELY (YGC)
Entity type:Individual
Prefix:
First Name:YANELY
Middle Name:
Last Name:GONZALEZ CESPEDES
Suffix:
Gender:F
Credentials:YGC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1656 21ST ST # 1-306
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34234-8501
Mailing Address - Country:US
Mailing Address - Phone:941-250-7180
Mailing Address - Fax:
Practice Address - Street 1:1656 21ST ST # 1-306
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34234-8501
Practice Address - Country:US
Practice Address - Phone:941-250-7180
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-05
Last Update Date:2025-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL106E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior Analyst