Provider Demographics
NPI:1427893676
Name:MACHADO FELIPE, YOHANNA (RBT-24-357800)
Entity type:Individual
Prefix:
First Name:YOHANNA
Middle Name:
Last Name:MACHADO FELIPE
Suffix:
Gender:F
Credentials:RBT-24-357800
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3031 SW SANTA BARBARA PL
Mailing Address - Street 2:
Mailing Address - City:CAPE CORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33914-4592
Mailing Address - Country:US
Mailing Address - Phone:239-308-6478
Mailing Address - Fax:
Practice Address - Street 1:3031 SW SANTA BARBARA PL
Practice Address - Street 2:
Practice Address - City:CAPE CORAL
Practice Address - State:FL
Practice Address - Zip Code:33914-4592
Practice Address - Country:US
Practice Address - Phone:239-308-6478
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-28
Last Update Date:2024-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRBT-24-357800106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician