Provider Demographics
NPI:1396539342
Name:BRITO DE LA ROSA, KIARA YAMALY (RBT)
Entity type:Individual
Prefix:MISS
First Name:KIARA
Middle Name:YAMALY
Last Name:BRITO DE LA ROSA
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 1:741 SW SWAN AVE
Mailing Address - Street 2:
Mailing Address - City:PORT ST LUCIE
Mailing Address - State:FL
Mailing Address - Zip Code:34983-1871
Mailing Address - Country:US
Mailing Address - Phone:561-787-2453
Mailing Address - Fax:
Practice Address - Street 1:741 SW SWAN AVE
Practice Address - Street 2:
Practice Address - City:PORT ST LUCIE
Practice Address - State:FL
Practice Address - Zip Code:34983-1871
Practice Address - Country:US
Practice Address - Phone:561-787-2453
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-07
Last Update Date:2025-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRBT-25-424209106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician