Provider Demographics
NPI:1538652771
Name:BELLO, YORLEY JOSELIN
Entity Type:Individual
Prefix:MISS
First Name:YORLEY
Middle Name:JOSELIN
Last Name:BELLO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:YORLEY
Other - Middle Name:
Other - Last Name:BELLO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2311 CONWAY RD APT 601
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32812-8337
Mailing Address - Country:US
Mailing Address - Phone:786-768-1449
Mailing Address - Fax:
Practice Address - Street 1:2311 CONWAY RD APT 601
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32812-8337
Practice Address - Country:US
Practice Address - Phone:786-768-1449
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-06-12
Last Update Date:2018-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
104100000X
FL104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL$$$$$$$$$Medicaid