{
"Npi": {
"NPI": "1174343545",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "LINO",
"FirstName": "YUNIEL",
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": "RBT",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "20571 SW 103RD AVE",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "CUTLER BAY",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "33189-3636",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "786-222-5709",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "10379 SW 186TH ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "CUTLER BAY",
"PracticeLocationAddressStateName": "FL",
"PracticeLocationAddressPostalCode": "33157-6824",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "786-250-5165",
"PracticeLocationAddressFaxNumber": "786-250-5158",
"EnumerationDate": "10/11/2024",
"LastUpdateDate": "11/14/2024",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "M",
"Gender": "Male",
"AuthorizedOfficialLastName": null,
"AuthorizedOfficialFirstName": null,
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": null,
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": null,
"Taxonomies": {
"Taxonomy": [
{
"TaxonomyCode": "171M00000X",
"TaxonomyName": "Case Manager/Care Coordinator",
"LicenseNumber": "CBHCM.0107167-P",
"LicenseNumberStateCode": "FL",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "106S00000X",
"TaxonomyName": "Behavior Technician",
"LicenseNumber": "RBT-24-384038",
"LicenseNumberStateCode": "FL",
"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}