Healthcare Provider Details

I. General information

NPI: 1518465905
Provider Name (Legal Business Name): AMALIA MILIAN YNFANTE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/31/2018
Last Update Date: 08/30/2026
Certification Date: 08/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3187 NW 60TH ST
MIAMI FL
33142-2104
US

IV. Provider business mailing address

3187 NW 60TH ST
MIAMI FL
33142-2104
US

V. Phone/Fax

Practice location:
  • Phone: 786-803-1621
  • Fax: 954-633-5382
Mailing address:
  • Phone: 786-803-1621
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code224Z00000X
TaxonomyOccupational Therapy Assistant
License NumberOTA18616
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT1852426
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: