Healthcare Provider Details

I. General information

NPI: 1316776073
Provider Name (Legal Business Name): YAMILET LAMELA RBT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/31/2024
Last Update Date: 07/31/2024
Certification Date: 07/31/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18950 SW 106TH AVE STE 119
MIAMI FL
33157-7699
US

IV. Provider business mailing address

1831 TOMASO AVE
LEHIGH ACRES FL
33972-1057
US

V. Phone/Fax

Practice location:
  • Phone: 305-614-1230
  • Fax: 786-724-1404
Mailing address:
  • Phone: 786-226-4471
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: