Provider Demographics
NPI:1154110484
Name:VITLLOCH, YIAMNY II
Entity type:Individual
Prefix:MISS
First Name:YIAMNY
Middle Name:
Last Name:VITLLOCH
Suffix:II
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4014 27TH ST SW
Mailing Address - Street 2:
Mailing Address - City:LEHIGH ACRES
Mailing Address - State:FL
Mailing Address - Zip Code:33976-3814
Mailing Address - Country:US
Mailing Address - Phone:239-710-9746
Mailing Address - Fax:
Practice Address - Street 1:4014 27TH ST SW
Practice Address - Street 2:
Practice Address - City:LEHIGH ACRES
Practice Address - State:FL
Practice Address - Zip Code:33976-3814
Practice Address - Country:US
Practice Address - Phone:239-710-9746
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-02
Last Update Date:2025-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician