Provider Demographics
NPI:1881240364
Name:TRABADO, YANISLEIDYS (RBT)
Entity type:Individual
Prefix:
First Name:YANISLEIDYS
Middle Name:
Last Name:TRABADO
Suffix:
Gender:F
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12963 W OKEECHOBEE RD STE 2
Mailing Address - Street 2:
Mailing Address - City:HIALEAH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33018-6055
Mailing Address - Country:US
Mailing Address - Phone:305-397-3597
Mailing Address - Fax:305-675-8040
Practice Address - Street 1:6405 NW 36TH ST STE 123
Practice Address - Street 2:
Practice Address - City:VIRGINIA GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33166-6960
Practice Address - Country:US
Practice Address - Phone:305-397-3597
Practice Address - Fax:305-675-8040
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-12
Last Update Date:2024-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior TechnicianGroup - Single Specialty