Provider Demographics
NPI:1831488816
Name:LEMOS, YIGSY MARIA (MS)
Entity Type:Individual
Prefix:MRS
First Name:YIGSY
Middle Name:MARIA
Last Name:LEMOS
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:YIGSY
Other - Middle Name:MARIA
Other - Last Name:SANCHEZ
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:BCBA
Mailing Address - Street 1:3542 W 93RD PL
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33018-2075
Mailing Address - Country:US
Mailing Address - Phone:786-281-2421
Mailing Address - Fax:
Practice Address - Street 1:3542 W 93RD PL
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33018
Practice Address - Country:US
Practice Address - Phone:786-281-2421
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-30
Last Update Date:2020-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSI18862355S0801X
FL1-19-40151103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL708739Medicaid