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NPI Code Detail

MEDICARE: YEIMY MAILEN GARCIA NIETO

MEDICARE:   YEIMY MAILEN  GARCIA NIETO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1528914769
Entity Type Code : Individual
Provider Name (Legal Business Name) : YEIMY MAILEN GARCIA NIETO
Provider Business Mailing Address
First Line : 920 N 68TH TER APT B16
Second Line :
City : HOLLYWOOD
State : FL
Zip : 33024-5743
Country : US
Telephone Number : 786-260-3136
Fax Number :
Provider Business Practice Location Address
First Line : 920 N 68TH TER APT B16
Second Line :
City : HOLLYWOOD
State : FL
Zip : 33024-5743
Country : US
Telephone Number : 786-260-3136
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/09/2026
Last Update Date : 03/09/2026

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Directions to “ YEIMY MAILEN GARCIA NIETO ” Practice Location

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