Healthcare Provider Details

I. General information

NPI: 1639002710
Provider Name (Legal Business Name): PAOLA YAZMIN RIZO VERA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/08/2026
Last Update Date: 06/08/2026
Certification Date: 06/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3110 SW 16TH ST
MIAMI FL
33145-1032
US

IV. Provider business mailing address

3110 SW 16TH ST
MIAMI FL
33145-1032
US

V. Phone/Fax

Practice location:
  • Phone: 786-893-3277
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106E00000X
TaxonomyAssistant Behavior Analyst
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: