Provider Demographics
NPI:1114523198
Name:ARTOLA, YOSBEL J
Entity Type:Individual
Prefix:
First Name:YOSBEL
Middle Name:J
Last Name:ARTOLA
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 1:13531 SW 62ND ST # 144
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33183-5149
Mailing Address - Country:US
Mailing Address - Phone:786-285-6122
Mailing Address - Fax:
Practice Address - Street 1:4107 FAITH ST
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33406-4838
Practice Address - Country:US
Practice Address - Phone:786-285-6122
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-07
Last Update Date:2021-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRBT-20-120183106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician