Healthcare Provider Details

I. General information

NPI: 1396194890
Provider Name (Legal Business Name): YOANET COBIELLA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/07/2016
Last Update Date: 10/14/2021
Certification Date: 10/14/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9142 NW 114TH ST
HIALEAH GARDENS FL
33018-4137
US

IV. Provider business mailing address

9142 NW 114TH ST
HIALEAH GARDENS FL
33018-4137
US

V. Phone/Fax

Practice location:
  • Phone: 786-291-7838
  • Fax:
Mailing address:
  • Phone: 786-291-7838
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code106E00000X
TaxonomyAssistant Behavior Analyst
License Number0-18-8858
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: