Provider Demographics
NPI:1710669197
Name:CEPERO MORALES, YAMELA
Entity Type:Individual
Prefix:
First Name:YAMELA
Middle Name:
Last Name:CEPERO MORALES
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 1:5525 W 24TH WAY APT 11
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33016-4711
Mailing Address - Country:US
Mailing Address - Phone:786-910-2877
Mailing Address - Fax:
Practice Address - Street 1:5525 W 24TH WAY APT 11
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33016-4711
Practice Address - Country:US
Practice Address - Phone:786-910-2877
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-03
Last Update Date:2023-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician