Provider Demographics
NPI:1811645419
Name:GARCIA AGUILAR, YUNIESKA
Entity type:Individual
Prefix:
First Name:YUNIESKA
Middle Name:
Last Name:GARCIA AGUILAR
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 1:611 SE 9TH AVE APT 31
Mailing Address - Street 2:
Mailing Address - City:OCALA,FL
Mailing Address - State:FL
Mailing Address - Zip Code:34471
Mailing Address - Country:US
Mailing Address - Phone:786-482-1688
Mailing Address - Fax:
Practice Address - Street 1:611 SE 9TH AVE APT 31
Practice Address - Street 2:
Practice Address - City:OCALA,FL
Practice Address - State:FL
Practice Address - Zip Code:34471
Practice Address - Country:US
Practice Address - Phone:786-482-1688
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-13
Last Update Date:2022-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLG622-960-92-949-0106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior TechnicianGroup - Multi-Specialty