Provider Demographics
NPI:1386437762
Name:GARCIA AGUILERA, YANISLEY
Entity type:Individual
Prefix:
First Name:YANISLEY
Middle Name:
Last Name:GARCIA AGUILERA
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 1:10651 HAMMOCKS BLVD APT 831
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33196-3743
Mailing Address - Country:US
Mailing Address - Phone:786-246-8741
Mailing Address - Fax:
Practice Address - Street 1:10651 HAMMOCKS BLVD APT 831
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33196-3743
Practice Address - Country:US
Practice Address - Phone:786-246-8741
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-27
Last Update Date:2025-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRBT-25-435523106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior TechnicianGroup - Single Specialty