Provider Demographics
NPI:1740989870
Name:MARIN, YANELY (RBT)
Entity type:Individual
Prefix:
First Name:YANELY
Middle Name:
Last Name:MARIN
Suffix:
Gender:F
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7171 SW 24TH ST STE 316
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33155-1692
Mailing Address - Country:US
Mailing Address - Phone:786-762-2415
Mailing Address - Fax:786-762-2418
Practice Address - Street 1:7171 SW 24TH ST STE 316
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33155-1692
Practice Address - Country:US
Practice Address - Phone:786-762-2415
Practice Address - Fax:786-762-2418
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-27
Last Update Date:2023-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician