Healthcare Provider Details

I. General information

NPI: 1033036124
Provider Name (Legal Business Name): YUNISLEIDY ENCINOSO RODRIGUEZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/30/2026
Last Update Date: 06/30/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3567 WILES RD APT 304
COCONUT CREEK FL
33073-2206
US

IV. Provider business mailing address

3567 WILES RD APT 304
COCONUT CREEK FL
33073-2206
US

V. Phone/Fax

Practice location:
  • Phone: 954-203-1229
  • Fax:
Mailing address:
  • Phone: 954-203-1229
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: