MEDICARE: YAYA BEHAVIORAL HEALTH, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	364SP0808X	Psychiatric/Mental Health Clinical Nurse Specialist

General Provider Information

NPI Number	:	1013854454
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	YAYA BEHAVIORAL HEALTH, LLC

Provider Business Mailing Address
First Line	:	2220 NW 93RD WAY
Second Line	:
City	:	PEMBROKE PINES
State	:	FL
Zip	:	33024-3142
Country	:	US
Telephone Number	:	786-899-3351
Fax Number	:

Provider Business Practice Location Address
First Line	:	2220 NW 93RD WAY
Second Line	:
City	:	PEMBROKE PINES
State	:	FL
Zip	:	33024-3142
Country	:	US
Telephone Number	:	786-899-3351
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	DR. YAHAIRA MANON
Credential	:	APRN, PMHNP-BC
Telephone Number	:	786-899-3351

Provider Enumeration Date	:	05/04/2026
Last Update Date	:	05/04/2026

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