Healthcare Provider Details

I. General information

NPI: 1811831761
Provider Name (Legal Business Name): YURISLEIDY BORDAO VALDES
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/20/2026
Last Update Date: 04/20/2026
Certification Date: 04/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2926 NW 18TH AVE APT 802
MIAMI FL
33142-6220
US

IV. Provider business mailing address

2926 NW 18TH AVE APT 802
MIAMI FL
33142-6220
US

V. Phone/Fax

Practice location:
  • Phone: 786-899-7340
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-26-531085
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: