Yenny Fernandez Landa
Individual provider Active NPI Behavior Analyst · Holiday, FL
NPI 1679090674 · NPPES record last updated Dec 9, 2025
Key facts
- NPI
- 1679090674
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- Practice address
- 1129 Persimmon Dr
Holiday, FL 34691-6714 - Phone
- (727) 648-0105
- NPI assigned
- Aug 29, 2017
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Yes | ||
| Behavior Technician | 106S00000X | |||
| Assistant Behavior Analyst | 106E00000X |
Addresses
Primary practice location
1129 Persimmon Dr
Holiday, FL 34691-6714
Mailing address
1129 Persimmon Dr
Holiday, FL 34691-6714
Phone (727) 648-0105
Other providers in Holiday, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 9, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.