Healthcare Provider Details

I. General information

NPI: 1174974935
Provider Name (Legal Business Name): YARIBEL CUERVO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/23/2016
Last Update Date: 05/22/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10621 N KENDALL DR
MIAMI FL
33176
US

IV. Provider business mailing address

21300 SW 244TH ST
HOMESTEAD FL
33031-3628
US

V. Phone/Fax

Practice location:
  • Phone: 305-275-1800
  • Fax: 305-275-1803
Mailing address:
  • Phone: 305-794-2841
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: