Provider Demographics
NPI:1114646387
Name:MAIR, YOSMEYA (RBT-22-225372)
Entity Type:Individual
Prefix:
First Name:YOSMEYA
Middle Name:
Last Name:MAIR
Suffix:
Gender:F
Credentials:RBT-22-225372
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11044 SW 242ND ST
Mailing Address - Street 2:
Mailing Address - City:HOMESTEAD
Mailing Address - State:FL
Mailing Address - Zip Code:33032-5144
Mailing Address - Country:US
Mailing Address - Phone:786-355-5203
Mailing Address - Fax:
Practice Address - Street 1:11044 SW 242ND ST
Practice Address - Street 2:
Practice Address - City:HOMESTEAD
Practice Address - State:FL
Practice Address - Zip Code:33032-5144
Practice Address - Country:US
Practice Address - Phone:786-355-5203
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-23
Last Update Date:2022-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRBT-22-225372106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician