Provider Demographics
NPI:1336904606
Name:ARROLIGA OPORTA, YASMARY
Entity Type:Individual
Prefix:
First Name:YASMARY
Middle Name:
Last Name:ARROLIGA OPORTA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21346 SW 112TH AVE APT 207
Mailing Address - Street 2:
Mailing Address - City:CUTLER BAY
Mailing Address - State:FL
Mailing Address - Zip Code:33189-2964
Mailing Address - Country:US
Mailing Address - Phone:305-613-6636
Mailing Address - Fax:
Practice Address - Street 1:21346 SW 112TH AVE APT 207
Practice Address - Street 2:
Practice Address - City:CUTLER BAY
Practice Address - State:FL
Practice Address - Zip Code:33189-2964
Practice Address - Country:US
Practice Address - Phone:305-613-6636
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-15
Last Update Date:2024-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRBT-23-257237106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician