Provider Demographics
NPI:1871468645
Name:ROMERO, PAOLA YASMIN
Entity type:Individual
Prefix:
First Name:PAOLA
Middle Name:YASMIN
Last Name:ROMERO
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 1:1763 W 24TH ST STE 100
Mailing Address - Street 2:
Mailing Address - City:YUMA
Mailing Address - State:AZ
Mailing Address - Zip Code:85364-6219
Mailing Address - Country:US
Mailing Address - Phone:928-502-1927
Mailing Address - Fax:
Practice Address - Street 1:1763 W 24TH ST STE 100
Practice Address - Street 2:
Practice Address - City:YUMA
Practice Address - State:AZ
Practice Address - Zip Code:85364-6219
Practice Address - Country:US
Practice Address - Phone:928-502-1927
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-10-09
Last Update Date:2025-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician