Provider Demographics
NPI:1316733215
Name:CARMONA, YULEISY
Entity type:Individual
Prefix:
First Name:YULEISY
Middle Name:
Last Name:CARMONA
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9255 SW 125TH AVE, MIAMI, FL 33186, USA
Mailing Address - Street 2:APT 103R
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33186
Mailing Address - Country:US
Mailing Address - Phone:305-281-6421
Mailing Address - Fax:305-281-6421
Practice Address - Street 1:9255 SW 125TH AVE, MIAMI, FL 33186, USA
Practice Address - Street 2:APT 103R
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33186
Practice Address - Country:US
Practice Address - Phone:305-281-6421
Practice Address - Fax:305-281-6421
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-16
Last Update Date:2025-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician