Provider Demographics
NPI:1467803312
Name:CAMEJO DE LA ROSA, YAMILET A
Entity Type:Individual
Prefix:
First Name:YAMILET
Middle Name:A
Last Name:CAMEJO DE LA ROSA
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 1:7075 SW 152ND CT
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33193-1649
Mailing Address - Country:US
Mailing Address - Phone:786-312-0180
Mailing Address - Fax:
Practice Address - Street 1:7075 SW 152ND CT
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33193-1649
Practice Address - Country:US
Practice Address - Phone:786-312-0180
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-22
Last Update Date:2019-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior Analyst