Provider Demographics
NPI:1629770110
Name:YML BEHAVIORAL SERVICES LLC
Entity Type:Organization
Organization Name:YML BEHAVIORAL SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MIREIDI
Authorized Official - Middle Name:
Authorized Official - Last Name:CANCIO INCLAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-429-1459
Mailing Address - Street 1:13590 SW 134TH AVE STE 207
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33186-4576
Mailing Address - Country:US
Mailing Address - Phone:786-429-1459
Mailing Address - Fax:786-429-1460
Practice Address - Street 1:13590 SW 134TH AVE STE 207
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33186-4576
Practice Address - Country:US
Practice Address - Phone:786-429-1459
Practice Address - Fax:786-429-1460
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-20
Last Update Date:2023-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty