Provider Demographics
NPI:1013508530
Name:ESCANDON, YULIET E (MMH, MED MPN, RBT)
Entity type:Individual
Prefix:
First Name:YULIET
Middle Name:E
Last Name:ESCANDON
Suffix:
Gender:F
Credentials:MMH, MED MPN, RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1675 SE 7TH LN
Mailing Address - Street 2:
Mailing Address - City:HOMESTEAD
Mailing Address - State:FL
Mailing Address - Zip Code:33033-5082
Mailing Address - Country:US
Mailing Address - Phone:954-329-9791
Mailing Address - Fax:
Practice Address - Street 1:13501 SW 128TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33186-5882
Practice Address - Country:US
Practice Address - Phone:954-329-9791
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-27
Last Update Date:2025-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLIMH23779101YM0800X
FL221700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No221700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersArt Therapist