Provider Demographics
NPI:1881201945
Name:RODRIGUEZ MEIRINO, YULIET (RBT-20-130481)
Entity Type:Individual
Prefix:
First Name:YULIET
Middle Name:
Last Name:RODRIGUEZ MEIRINO
Suffix:
Gender:F
Credentials:RBT-20-130481
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6229 GAINSBORO AVE
Mailing Address - Street 2:
Mailing Address - City:SPRING HILL
Mailing Address - State:FL
Mailing Address - Zip Code:34609-1119
Mailing Address - Country:US
Mailing Address - Phone:813-506-3889
Mailing Address - Fax:
Practice Address - Street 1:8919 N JONES AVE
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33604-1023
Practice Address - Country:US
Practice Address - Phone:813-506-3889
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-23
Last Update Date:2023-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA857-829-4040Medicaid