Provider Demographics
NPI:1013600394
Name:GONZALEZ DELGADO, YULEISI
Entity type:Individual
Prefix:
First Name:YULEISI
Middle Name:
Last Name:GONZALEZ DELGADO
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 1:6611 BRANCH ST
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33024-5702
Mailing Address - Country:US
Mailing Address - Phone:954-913-2293
Mailing Address - Fax:
Practice Address - Street 1:6611 BRANCH ST
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33024-5702
Practice Address - Country:US
Practice Address - Phone:954-913-2293
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-01
Last Update Date:2023-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician