MEDICARE: MISS YUDENY D PORTAL RBT

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
1	106S00000X	Behavior Technician

General Provider Information

NPI Number	:	1992212658
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS YUDENY D PORTAL RBT

Provider Business Mailing Address
First Line	:	5564 NW 200TH TER
Second Line	:
City	:	MIAMI GARDENS
State	:	FL
Zip	:	33055-6628
Country	:	US
Telephone Number	:	786-973-5183
Fax Number	:

Provider Business Practice Location Address
First Line	:	5564 NW 200TH TER
Second Line	:
City	:	MIAMI GARDENS
State	:	FL
Zip	:	33055-6628
Country	:	US
Telephone Number	:	786-973-5183
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/03/2018
Last Update Date	:	01/03/2018

Similar Medicare Providers

1588558423 — ACCESS MEDICAL GROUP OF MIAMI MEDICARE, LLC
Practice Location Address:

701 NW 27TH AVE
MIAMI, FL
33125-3012

Practice Phone: 786-744-1900
Practice Fax: 305-760-4141

1942206743 — CAROLYN THERESE LEPAGE ARNP-BC
Practice Location Address:

11300 NE 2ND AVE
MIAMI SHORES, FL
33161-6628

Practice Phone: 305-899-3800
Practice Fax: 305-899-3831

1962475475 — PROF. BELINDA SUE SHAPIRO ED.D, ATC/L
Practice Location Address:

11300 NE 2ND AVE
MIAMI SHORES, FL
33161-6628

Practice Phone: 305-899-3574
Practice Fax:

1912970898 — PROF. GEORGIA MONIQUE MOKHA PHD ATC
Practice Location Address:

11300 NE 2ND AVE
MIAMI SHORES, FL
33161-6628

Practice Phone: 305-899-3555
Practice Fax:

1295796852 — MR. DANIEL DAVID HELDER ATC
Practice Location Address:

11300 NE 2ND AVE
MIAMI SHORES, FL
33161-6628

Practice Phone: 305-899-3555
Practice Fax:

1629030275 — BARRY UNIVERSITY INC
Practice Location Address:

11300 NE 2ND AVE
MIAMI, FL
33161-6628

Practice Phone: 305-899-3252
Practice Fax: 305-899-4798

Directions to “ MISS YUDENY D PORTAL RBT” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.