Provider Demographics
NPI:1588543581
Name:DEL POZO BERDERON, FRANCIS YANDRA
Entity type:Individual
Prefix:
First Name:FRANCIS
Middle Name:YANDRA
Last Name:DEL POZO BERDERON
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 1:2510 W 56TH ST APT 2101
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33016-4763
Mailing Address - Country:US
Mailing Address - Phone:786-795-8258
Mailing Address - Fax:
Practice Address - Street 1:8900 SW 117TH AVE STE C206
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33186-2185
Practice Address - Country:US
Practice Address - Phone:305-224-0014
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-02
Last Update Date:2025-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRBT-25-406200106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician