Provider Demographics
NPI:1346893922
Name:TARRIO, YANIT (RBT)
Entity Type:Individual
Prefix:
First Name:YANIT
Middle Name:
Last Name:TARRIO
Suffix:
Gender:F
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5610 NW 107TH AVE APT 1309
Mailing Address - Street 2:
Mailing Address - City:DORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33178-4940
Mailing Address - Country:US
Mailing Address - Phone:305-764-5770
Mailing Address - Fax:
Practice Address - Street 1:2100 CORAL WAY STE 403
Practice Address - Street 2:
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33145-2657
Practice Address - Country:US
Practice Address - Phone:786-558-4091
Practice Address - Fax:786-254-7419
Is Sole Proprietor?:Yes
Enumeration Date:2019-07-22
Last Update Date:2019-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRBT-19-83515106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior TechnicianGroup - Single Specialty