Individual provider · NPI-1

Yerietsi Escobar

Behavior Technician · Doral, FL

NPI number1760906226
StatusActive
Last updated in NPPESJul 21, 2022

Details

NPI
1760906226
Entity type
Individual (NPI-1)
Name
Yerietsi Escobar
Sex
Female
Sole proprietor
Yes
Enumeration date
Jul 26, 2017
Certification date
Mar 17, 2022
Last updated
Jul 21, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes
225200000X Physical Therapy Assistant30673FL

Practice location

2500 Nw 79th Ave Ste 116
Doral, FL 33122-1075

Phone 305-591-7898

Mailing address

14536 Sw 170th St
Miami, FL 33177-2020

Phone 786-424-4025

Other practice locations

8785 Sw 165th Ave Ste 103
Miami, FL 33193-5827

Phone 786-206-6500

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