Provider Demographics
NPI:1336850460
Name:YOSELIN THERAPY LLC
Entity Type:Organization
Organization Name:YOSELIN THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BCBA/CEO
Authorized Official - Prefix:
Authorized Official - First Name:YOSELIN
Authorized Official - Middle Name:
Authorized Official - Last Name:CABALLERO
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:786-395-9737
Mailing Address - Street 1:18300 NW 62ND AVE STE 100
Mailing Address - Street 2:
Mailing Address - City:MIAMI GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33015-8207
Mailing Address - Country:US
Mailing Address - Phone:786-395-9737
Mailing Address - Fax:
Practice Address - Street 1:18300 NW 62ND AVE STE 100
Practice Address - Street 2:
Practice Address - City:MIAMI GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33015-8207
Practice Address - Country:US
Practice Address - Phone:786-395-9737
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-09
Last Update Date:2022-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty