Provider Demographics
NPI:1538985866
Name:TEJO MORFFI, YILEIDY
Entity type:Individual
Prefix:
First Name:YILEIDY
Middle Name:
Last Name:TEJO MORFFI
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 1:1755 W 60TH ST APT D105
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33012-6827
Mailing Address - Country:US
Mailing Address - Phone:786-779-9582
Mailing Address - Fax:
Practice Address - Street 1:1755 W 60TH ST APT D105
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33012-6827
Practice Address - Country:US
Practice Address - Phone:786-779-9582
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-02
Last Update Date:2024-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1223944106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician