Provider Demographics
NPI:1700645827
Name:ALBERTERIS SUAREZ, YOELBIS
Entity Type:Individual
Prefix:
First Name:YOELBIS
Middle Name:
Last Name:ALBERTERIS SUAREZ
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 1:813 E 10TH ST
Mailing Address - Street 2:
Mailing Address - City:APOPKA
Mailing Address - State:FL
Mailing Address - Zip Code:32703-5421
Mailing Address - Country:US
Mailing Address - Phone:786-745-0378
Mailing Address - Fax:
Practice Address - Street 1:813 E 10TH ST
Practice Address - Street 2:
Practice Address - City:APOPKA
Practice Address - State:FL
Practice Address - Zip Code:32703-5421
Practice Address - Country:US
Practice Address - Phone:786-745-0378
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-19
Last Update Date:2024-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL24-333860106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician