Provider Demographics
NPI:1871261743
Name:YGC BEHAVIOR SERVICES INC
Entity Type:Organization
Organization Name:YGC BEHAVIOR SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:YUNAISY
Authorized Official - Middle Name:
Authorized Official - Last Name:GONZALEZ CARBALLO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-630-0178
Mailing Address - Street 1:14340 SW 289TH ST
Mailing Address - Street 2:
Mailing Address - City:HOMESTEAD
Mailing Address - State:FL
Mailing Address - Zip Code:33033-3002
Mailing Address - Country:US
Mailing Address - Phone:786-630-0178
Mailing Address - Fax:
Practice Address - Street 1:14340 SW 289TH ST
Practice Address - Street 2:
Practice Address - City:HOMESTEAD
Practice Address - State:FL
Practice Address - Zip Code:33033-3002
Practice Address - Country:US
Practice Address - Phone:786-630-0178
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-03
Last Update Date:2021-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior TechnicianGroup - Single Specialty