Provider Demographics
NPI:1003660010
Name:ESPINOSA MARTINEZ, YASMELI MARIA
Entity Type:Individual
Prefix:
First Name:YASMELI
Middle Name:MARIA
Last Name:ESPINOSA MARTINEZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1301 SE 28TH LN UNIT 206
Mailing Address - Street 2:
Mailing Address - City:HOMESTEAD
Mailing Address - State:FL
Mailing Address - Zip Code:33035-2384
Mailing Address - Country:US
Mailing Address - Phone:786-526-8939
Mailing Address - Fax:
Practice Address - Street 1:1301 SE 28TH LN UNIT 206
Practice Address - Street 2:
Practice Address - City:HOMESTEAD
Practice Address - State:FL
Practice Address - Zip Code:33035-2384
Practice Address - Country:US
Practice Address - Phone:786-526-8939
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-16
Last Update Date:2024-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRBT-24-334922103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst