Provider Demographics
NPI:1811786387
Name:TRETO, YASIEL
Entity type:Individual
Prefix:
First Name:YASIEL
Middle Name:
Last Name:TRETO
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14901 SW 82ND TER APT 102
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33193-1438
Mailing Address - Country:US
Mailing Address - Phone:786-273-6218
Mailing Address - Fax:
Practice Address - Street 1:14901 SW 82ND TER APT 102
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33193-1438
Practice Address - Country:US
Practice Address - Phone:786-273-6218
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-02
Last Update Date:2025-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRBT-25-429222106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician