Provider Demographics
NPI:1417561077
Name:MILAN ROBAINA, YARISLEYDIS
Entity Type:Individual
Prefix:
First Name:YARISLEYDIS
Middle Name:
Last Name:MILAN ROBAINA
Suffix:
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 1:14766 SW 9TH LN
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33194-2912
Mailing Address - Country:US
Mailing Address - Phone:786-531-8491
Mailing Address - Fax:
Practice Address - Street 1:14766 SW 9TH LN
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33194-2912
Practice Address - Country:US
Practice Address - Phone:786-531-8491
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-01
Last Update Date:2020-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRBT-20-118505106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician