Provider Demographics
NPI:1841712791
Name:QUERALES, YNDHIRA
Entity type:Individual
Prefix:MRS
First Name:YNDHIRA
Middle Name:
Last Name:QUERALES
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 1:13688 NIGHT SKY PL
Mailing Address - Street 2:
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33484-1348
Mailing Address - Country:US
Mailing Address - Phone:954-636-7566
Mailing Address - Fax:
Practice Address - Street 1:13688 NIGHT SKY PL
Practice Address - Street 2:
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33484-1348
Practice Address - Country:US
Practice Address - Phone:954-636-7566
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-07-12
Last Update Date:2024-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRBT-20-121823106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician