Provider Demographics
NPI:1083714901
Name:SOLIS, YOHANDRA (BCBA-D)
Entity Type:Individual
Prefix:
First Name:YOHANDRA
Middle Name:
Last Name:SOLIS
Suffix:
Gender:F
Credentials:BCBA-D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9884 NW 135TH ST
Mailing Address - Street 2:
Mailing Address - City:HIALEAH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33018-1600
Mailing Address - Country:US
Mailing Address - Phone:786-419-5998
Mailing Address - Fax:305-356-7116
Practice Address - Street 1:9884 NW 135TH ST
Practice Address - Street 2:
Practice Address - City:HIALEAH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33018-1600
Practice Address - Country:US
Practice Address - Phone:786-419-5998
Practice Address - Fax:305-356-7116
Is Sole Proprietor?:No
Enumeration Date:2006-09-22
Last Update Date:2015-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
FL1-10-6902103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst