Provider Demographics
NPI:1275351074
Name:VALDES JIMENEZ, YARIBEL M
Entity type:Individual
Prefix:
First Name:YARIBEL
Middle Name:M
Last Name:VALDES JIMENEZ
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 1:310 WALKER AVE
Mailing Address - Street 2:
Mailing Address - City:GREENACRES
Mailing Address - State:FL
Mailing Address - Zip Code:33463-3347
Mailing Address - Country:US
Mailing Address - Phone:786-893-7402
Mailing Address - Fax:
Practice Address - Street 1:310 WALKER AVE
Practice Address - Street 2:
Practice Address - City:GREENACRES
Practice Address - State:FL
Practice Address - Zip Code:33463-3347
Practice Address - Country:US
Practice Address - Phone:786-893-7402
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-30
Last Update Date:2024-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRBT-24-381303106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician