Healthcare Provider Details

I. General information

NPI: 1194486019
Provider Name (Legal Business Name): YAMILIN VENTURA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/03/2022
Last Update Date: 11/13/2024
Certification Date: 11/13/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

541 ANASTASIA AVE APT 10
CORAL GABLES FL
33134-7182
US

IV. Provider business mailing address

541 ANASTASIA AVE APT 10
CORAL GABLES FL
33134-7182
US

V. Phone/Fax

Practice location:
  • Phone: 786-805-8118
  • Fax:
Mailing address:
  • Phone: 786-805-8118
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: