Provider Demographics
NPI:1356059398
Name:Y@LB MILL CHANGING BEHAVIOR LLC
Entity type:Organization
Organization Name:Y@LB MILL CHANGING BEHAVIOR LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:YANET
Authorized Official - Middle Name:
Authorized Official - Last Name:BONET MILL
Authorized Official - Suffix:
Authorized Official - Credentials:LEAD ANALYST
Authorized Official - Phone:305-648-7212
Mailing Address - Street 1:1900 SW 22ND ST STE 205
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33145-2661
Mailing Address - Country:US
Mailing Address - Phone:305-648-7212
Mailing Address - Fax:786-655-4281
Practice Address - Street 1:1900 SW 22ND ST STE 205
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33145-2661
Practice Address - Country:US
Practice Address - Phone:305-648-7212
Practice Address - Fax:786-655-4281
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-08
Last Update Date:2025-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty