Provider Demographics
NPI:1003691643
Name:RUBINO, YANIRI (RBT-20-130666)
Entity Type:Individual
Prefix:
First Name:YANIRI
Middle Name:
Last Name:RUBINO
Suffix:
Gender:F
Credentials:RBT-20-130666
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26780 SW 142ND AVE APT 302
Mailing Address - Street 2:
Mailing Address - City:HOMESTEAD
Mailing Address - State:FL
Mailing Address - Zip Code:33032-5420
Mailing Address - Country:US
Mailing Address - Phone:786-381-8437
Mailing Address - Fax:
Practice Address - Street 1:26780 SW 142ND AVE APT 302
Practice Address - Street 2:
Practice Address - City:HOMESTEAD
Practice Address - State:FL
Practice Address - Zip Code:33032-5420
Practice Address - Country:US
Practice Address - Phone:786-381-8437
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-30
Last Update Date:2023-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRBT-20-130666106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician