Provider Demographics
NPI:1861243594
Name:BRITO RAMOS, YORKELLYS ANDREINA
Entity type:Individual
Prefix:
First Name:YORKELLYS
Middle Name:ANDREINA
Last Name:BRITO RAMOS
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 1:1203 BAREFOOT BAY DR
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32824-6234
Mailing Address - Country:US
Mailing Address - Phone:407-318-0626
Mailing Address - Fax:
Practice Address - Street 1:1203 BAREFOOT BAY DR
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32824-6234
Practice Address - Country:US
Practice Address - Phone:407-318-0626
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-29
Last Update Date:2024-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician