Provider Demographics
NPI:1073384293
Name:LEON, YAUMARA (CBHCM)
Entity Type:Individual
Prefix:
First Name:YAUMARA
Middle Name:
Last Name:LEON
Suffix:
Gender:F
Credentials:CBHCM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1965 NE 135TH ST APT 402
Mailing Address - Street 2:
Mailing Address - City:NORTH MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33181-2108
Mailing Address - Country:US
Mailing Address - Phone:561-891-3087
Mailing Address - Fax:
Practice Address - Street 1:1965 NE 135TH ST APT 402
Practice Address - Street 2:
Practice Address - City:NORTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33181-2108
Practice Address - Country:US
Practice Address - Phone:561-891-3087
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-16
Last Update Date:2024-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCBHCM.0103223171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator