Healthcare Provider Details
I. General information
NPI: 1831488816
Provider Name (Legal Business Name): YIGSY MARIA LEMOS MS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 03/30/2011
Last Update Date: 06/26/2025
Certification Date: 06/26/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
409 S DIXIE HWY STE 4
LAKE WORTH BEACH FL
33460-4405
US
IV. Provider business mailing address
3542 W 93RD PL
HIALEAH FL
33018-2075
US
V. Phone/Fax
- Phone: 561-409-3418
- Fax: 786-544-3309
- Phone: 786-281-2421
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103K00000X |
| Taxonomy | Behavior Analyst |
| License Number | 1-19-40151 |
| License Number State | FL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: