Provider Demographics
NPI:1649718339
Name:ACUNA BERMUDEZ, YUDELSY (BCBA)
Entity type:Individual
Prefix:
First Name:YUDELSY
Middle Name:
Last Name:ACUNA BERMUDEZ
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14433 NW 87TH PL
Mailing Address - Street 2:
Mailing Address - City:MIAMI LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:33018-8040
Mailing Address - Country:US
Mailing Address - Phone:786-491-2931
Mailing Address - Fax:305-742-2190
Practice Address - Street 1:14433 NW 87TH PL
Practice Address - Street 2:
Practice Address - City:MIAMI LAKES
Practice Address - State:FL
Practice Address - Zip Code:33018-8040
Practice Address - Country:US
Practice Address - Phone:786-491-2931
Practice Address - Fax:305-742-2190
Is Sole Proprietor?:Yes
Enumeration Date:2017-02-02
Last Update Date:2020-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1-20-46603103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty