Provider Demographics
NPI:1497632228
Name:ESPERON MIRANDA, YAILIN
Entity type:Individual
Prefix:
First Name:YAILIN
Middle Name:
Last Name:ESPERON MIRANDA
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 1:150 SW 51ST PL
Mailing Address - Street 2:
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33134-1213
Mailing Address - Country:US
Mailing Address - Phone:305-303-6990
Mailing Address - Fax:
Practice Address - Street 1:150 SW 51ST PL
Practice Address - Street 2:
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33134-1213
Practice Address - Country:US
Practice Address - Phone:305-303-6990
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-21
Last Update Date:2025-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRBT-25-444284106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician