Provider Demographics
NPI:1235915299
Name:JARAMILLO, YULEI ELCIN I
Entity Type:Individual
Prefix:MS
First Name:YULEI
Middle Name:ELCIN
Last Name:JARAMILLO
Suffix:I
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:725 NORTHLAKE BLVD APT 17
Mailing Address - Street 2:
Mailing Address - City:ALTAMONTE SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32701-6726
Mailing Address - Country:US
Mailing Address - Phone:407-663-8470
Mailing Address - Fax:
Practice Address - Street 1:3942 HILLINGDON RD
Practice Address - Street 2:
Practice Address - City:TAVARES
Practice Address - State:FL
Practice Address - Zip Code:32778-5727
Practice Address - Country:US
Practice Address - Phone:352-217-8308
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-06
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRBT-23-284375106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician