Provider Demographics
NPI:1316776073
Name:LAMELA, YAMILET (RBT)
Entity type:Individual
Prefix:
First Name:YAMILET
Middle Name:
Last Name:LAMELA
Suffix:
Gender:F
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1831 TOMASO AVE
Mailing Address - Street 2:
Mailing Address - City:LEHIGH ACRES
Mailing Address - State:FL
Mailing Address - Zip Code:33972-1057
Mailing Address - Country:US
Mailing Address - Phone:786-226-4471
Mailing Address - Fax:
Practice Address - Street 1:18950 SW 106TH AVE STE 119
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33157-7699
Practice Address - Country:US
Practice Address - Phone:305-614-1230
Practice Address - Fax:786-724-1404
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-31
Last Update Date:2024-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician