Provider Demographics
NPI:1912738154
Name:PELIER CARBAJO, YOANIA YOANIS
Entity type:Individual
Prefix:
First Name:YOANIA
Middle Name:YOANIS
Last Name:PELIER CARBAJO
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 1:2055 SW 122ND AVE APT 105
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33175-7300
Mailing Address - Country:US
Mailing Address - Phone:786-212-6782
Mailing Address - Fax:
Practice Address - Street 1:18951 SW 106TH AVE STE 103
Practice Address - Street 2:
Practice Address - City:CUTLER BAY
Practice Address - State:FL
Practice Address - Zip Code:33157-7667
Practice Address - Country:US
Practice Address - Phone:305-223-4448
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-09
Last Update Date:2024-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLP46297998660106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician