Provider Demographics
NPI:1073304978
Name:BERNIA ARIAS, YAIDEL
Entity type:Individual
Prefix:
First Name:YAIDEL
Middle Name:
Last Name:BERNIA ARIAS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16850 S GLADES DR APT 5G
Mailing Address - Street 2:
Mailing Address - City:NORTH MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33162-2970
Mailing Address - Country:US
Mailing Address - Phone:305-528-3085
Mailing Address - Fax:
Practice Address - Street 1:16850 S GLADES DR APT 5G
Practice Address - Street 2:
Practice Address - City:NORTH MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33162-2970
Practice Address - Country:US
Practice Address - Phone:305-528-3085
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-13
Last Update Date:2025-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL25-407325106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician