Provider Demographics
NPI:1477353381
Name:PRADERA, YUSLEIDI
Entity type:Individual
Prefix:
First Name:YUSLEIDI
Middle Name:
Last Name:PRADERA
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18504 SW 355TH TER
Mailing Address - Street 2:
Mailing Address - City:FLORIDA CITY
Mailing Address - State:FL
Mailing Address - Zip Code:33034-5554
Mailing Address - Country:US
Mailing Address - Phone:305-713-2599
Mailing Address - Fax:
Practice Address - Street 1:18504 SW 355TH TER
Practice Address - Street 2:
Practice Address - City:FLORIDA CITY
Practice Address - State:FL
Practice Address - Zip Code:33034-5554
Practice Address - Country:US
Practice Address - Phone:305-713-2599
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-18
Last Update Date:2025-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician