Provider Demographics
NPI:1437730660
Name:RODRIGUEZ MONTESDEOCA, YOYSEL (RBT)
Entity Type:Individual
Prefix:
First Name:YOYSEL
Middle Name:
Last Name:RODRIGUEZ MONTESDEOCA
Suffix:
Gender:M
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2240 PALM BEACH LAKES BLVD STE 400-E
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33409-3410
Mailing Address - Country:US
Mailing Address - Phone:954-734-4708
Mailing Address - Fax:
Practice Address - Street 1:2240 PALM BEACH LAKES BLVD STE 400-E
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33409-3410
Practice Address - Country:US
Practice Address - Phone:954-734-4708
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-19
Last Update Date:2021-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician