Provider Demographics
NPI:1780111542
Name:VELIZ PARODIS, YOARIS
Entity type:Individual
Prefix:
First Name:YOARIS
Middle Name:
Last Name:VELIZ PARODIS
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 1:3317 SW 25TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33133-2017
Mailing Address - Country:US
Mailing Address - Phone:786-488-3157
Mailing Address - Fax:
Practice Address - Street 1:99 NW 58TH AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33126-4717
Practice Address - Country:US
Practice Address - Phone:786-488-3157
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-05-11
Last Update Date:2023-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician