Provider Demographics
NPI:1932673068
Name:FROMETA, YOANNA
Entity Type:Individual
Prefix:
First Name:YOANNA
Middle Name:
Last Name:FROMETA
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 1:7341 NW 174TH TER APT 102A
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33015-1132
Mailing Address - Country:US
Mailing Address - Phone:786-333-5611
Mailing Address - Fax:
Practice Address - Street 1:7341 NW 174TH TER APT 102A
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33015-1132
Practice Address - Country:US
Practice Address - Phone:786-333-5611
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-01-11
Last Update Date:2019-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRBT-18-60148106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician