Provider Demographics
NPI:1518743038
Name:DUBE, YANILE
Entity Type:Individual
Prefix:
First Name:YANILE
Middle Name:
Last Name:DUBE
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 1:7101 BYRON AVE APT 304
Mailing Address - Street 2:
Mailing Address - City:MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33141-3053
Mailing Address - Country:US
Mailing Address - Phone:203-725-1312
Mailing Address - Fax:
Practice Address - Street 1:7101 BYRON AVE APT 304
Practice Address - Street 2:
Practice Address - City:MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33141-3053
Practice Address - Country:US
Practice Address - Phone:203-725-1312
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-01
Last Update Date:2023-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL182271041C0700X
CT82171041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical