Provider Demographics
NPI:1932082054
Name:ARROYAVE PEREZ, YENIFER LICETT
Entity type:Individual
Prefix:
First Name:YENIFER
Middle Name:LICETT
Last Name:ARROYAVE PEREZ
Suffix:
Gender:X
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2901 JACKSON ST APT 4
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33020-4754
Mailing Address - Country:US
Mailing Address - Phone:954-909-7390
Mailing Address - Fax:
Practice Address - Street 1:2901 JACKSON ST APT 4
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33020-4754
Practice Address - Country:US
Practice Address - Phone:954-909-7390
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-28
Last Update Date:2025-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician
No103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior Analyst