Provider Demographics
NPI:1811739600
Name:RODRIGUEZ ALMARZA, YNESELIA MARINA
Entity type:Individual
Prefix:
First Name:YNESELIA
Middle Name:MARINA
Last Name:RODRIGUEZ ALMARZA
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 1:726 W PALM DR APT 503
Mailing Address - Street 2:
Mailing Address - City:FLORIDA CITY
Mailing Address - State:FL
Mailing Address - Zip Code:33034-3285
Mailing Address - Country:US
Mailing Address - Phone:786-307-5757
Mailing Address - Fax:
Practice Address - Street 1:14221 SW 120TH ST STE 118
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33186-7463
Practice Address - Country:US
Practice Address - Phone:786-391-0695
Practice Address - Fax:305-602-9265
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-11
Last Update Date:2024-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRBT-23-315725106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician