Provider Demographics
NPI:1558159392
Name:PEDRE RODRIGUEZ, YEILA MILAGROS (RBT)
Entity type:Individual
Prefix:
First Name:YEILA
Middle Name:MILAGROS
Last Name:PEDRE RODRIGUEZ
Suffix:
Gender:
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:315 NW 57TH AVE APT 5
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33126-4828
Mailing Address - Country:US
Mailing Address - Phone:786-826-3999
Mailing Address - Fax:
Practice Address - Street 1:315 NW 57TH AVE APT 5
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33126-4828
Practice Address - Country:US
Practice Address - Phone:786-826-3999
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-30
Last Update Date:2025-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRBT-2374902106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician