Healthcare Provider Details

I. General information

NPI: 1528982626
Provider Name (Legal Business Name): YADELIN RODRIGUEZ
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/10/2026
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16657 SW 81ST TER
MIAMI FL
33193-5755
US

IV. Provider business mailing address

16657 SW 81ST TER
MIAMI FL
33193-5755
US

V. Phone/Fax

Practice location:
  • Phone: 786-645-3576
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106E00000X
TaxonomyAssistant Behavior Analyst
License NumberR362-960-93-962-0
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: