Provider Demographics
NPI:1679390629
Name:CANEL, YOHAN (RBT)
Entity type:Individual
Prefix:MR
First Name:YOHAN
Middle Name:
Last Name:CANEL
Suffix:
Gender:M
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6195 NW 186TH ST APT 201
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33015-6086
Mailing Address - Country:US
Mailing Address - Phone:954-318-8999
Mailing Address - Fax:
Practice Address - Street 1:6195 NW 186TH ST APT 201
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33015-6086
Practice Address - Country:US
Practice Address - Phone:954-318-8999
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-23
Last Update Date:2024-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician