Provider Demographics
NPI:1013533009
Name:ROMERO QUINTANA, YAMELA
Entity type:Individual
Prefix:
First Name:YAMELA
Middle Name:
Last Name:ROMERO QUINTANA
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2120 NW 98TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33147-2556
Mailing Address - Country:US
Mailing Address - Phone:305-741-8153
Mailing Address - Fax:
Practice Address - Street 1:4706 CHIQUITA BLVD S STE 200-SW05
Practice Address - Street 2:
Practice Address - City:CAPE CORAL
Practice Address - State:FL
Practice Address - Zip Code:33914-6321
Practice Address - Country:US
Practice Address - Phone:305-741-8153
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-25
Last Update Date:2025-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL106S00000X
FL1-23-70315103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician