Provider Demographics
NPI:1467215905
Name:CAPOTE, YAMILE (RBT)
Entity Type:Individual
Prefix:MS
First Name:YAMILE
Middle Name:
Last Name:CAPOTE
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 1:12430 COUNTRY DAY CIR
Mailing Address - Street 2:
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33913-7628
Mailing Address - Country:US
Mailing Address - Phone:305-965-5876
Mailing Address - Fax:
Practice Address - Street 1:12430 COUNTRY DAY CIR
Practice Address - Street 2:
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33913-7628
Practice Address - Country:US
Practice Address - Phone:305-965-5876
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-06
Last Update Date:2024-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician