Provider Demographics
NPI:1912523523
Name:COMPANIONI ZAMORA, YAILIS
Entity type:Individual
Prefix:
First Name:YAILIS
Middle Name:
Last Name:COMPANIONI ZAMORA
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 1:100 HAMMOCKS TRL APT 1111
Mailing Address - Street 2:
Mailing Address - City:KEY LARGO
Mailing Address - State:FL
Mailing Address - Zip Code:33037-4833
Mailing Address - Country:US
Mailing Address - Phone:305-298-3500
Mailing Address - Fax:
Practice Address - Street 1:100 HAMMOCKS TRL APT 1111
Practice Address - Street 2:
Practice Address - City:KEY LARGO
Practice Address - State:FL
Practice Address - Zip Code:33037-4833
Practice Address - Country:US
Practice Address - Phone:305-298-3500
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-19
Last Update Date:2020-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior TechnicianGroup - Single Specialty