Provider Demographics
NPI:1083067466
Name:JAMIDES, YAMIL
Entity Type:Individual
Prefix:
First Name:YAMIL
Middle Name:
Last Name:JAMIDES
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:495 NW 72ND AVE
Mailing Address - Street 2:208
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33126-5856
Mailing Address - Country:US
Mailing Address - Phone:786-426-7706
Mailing Address - Fax:
Practice Address - Street 1:495 NW 72ND AVE
Practice Address - Street 2:208
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33126-5856
Practice Address - Country:US
Practice Address - Phone:786-426-7706
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-07-20
Last Update Date:2016-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst