Provider Demographics
NPI:1255186847
Name:PLACERES DUMENIGO, YOEL (RBT)
Entity type:Individual
Prefix:
First Name:YOEL
Middle Name:
Last Name:PLACERES DUMENIGO
Suffix:
Gender:M
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20850 SW 87TH AVE APT 204
Mailing Address - Street 2:
Mailing Address - City:CUTLER BAY
Mailing Address - State:FL
Mailing Address - Zip Code:33189-7405
Mailing Address - Country:US
Mailing Address - Phone:786-445-6636
Mailing Address - Fax:
Practice Address - Street 1:12490 NE 7TH AVE STE 206
Practice Address - Street 2:
Practice Address - City:NORTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33161-5660
Practice Address - Country:US
Practice Address - Phone:786-709-8403
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-18
Last Update Date:2024-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior TechnicianGroup - Single Specialty