Provider Demographics
NPI:1568186377
Name:RODRIGUEZ HERNANDEZ, LAMASYEL YUGARA (RBT)
Entity Type:Individual
Prefix:
First Name:LAMASYEL
Middle Name:YUGARA
Last Name:RODRIGUEZ HERNANDEZ
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 1:1505 N FEDERAL HWY
Mailing Address - Street 2:
Mailing Address - City:LAKE WORTH
Mailing Address - State:FL
Mailing Address - Zip Code:33460-1964
Mailing Address - Country:US
Mailing Address - Phone:561-909-8980
Mailing Address - Fax:
Practice Address - Street 1:1505 N FEDERAL HWY
Practice Address - Street 2:
Practice Address - City:LAKE WORTH
Practice Address - State:FL
Practice Address - Zip Code:33460-1964
Practice Address - Country:US
Practice Address - Phone:561-909-8980
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-27
Last Update Date:2022-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRBT-22-220246106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician