Healthcare Provider Details

I. General information

NPI: 1013508530
Provider Name (Legal Business Name): YULIET E ESCANDON MMH, MED. MPN, RBT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/27/2021
Last Update Date: 09/23/2025
Certification Date: 09/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13501 SW 128TH ST
MIAMI FL
33186-5882
US

IV. Provider business mailing address

1675 SE 7TH LN
HOMESTEAD FL
33033-5082
US

V. Phone/Fax

Practice location:
  • Phone: 954-329-9791
  • Fax:
Mailing address:
  • Phone: 954-329-9791
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberIMH23779
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code221700000X
TaxonomyArt Therapist
License Number
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: