Provider Demographics
NPI:1134013550
Name:ESCANDON, YAIMA I
Entity type:Individual
Prefix:
First Name:YAIMA
Middle Name:
Last Name:ESCANDON
Suffix:I
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 1:330 SW 10TH TER
Mailing Address - Street 2:
Mailing Address - City:HALLANDALE BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33009-6125
Mailing Address - Country:US
Mailing Address - Phone:786-236-4301
Mailing Address - Fax:
Practice Address - Street 1:330 SW
Practice Address - Street 2:10TH TER
Practice Address - City:HALLANDALE BEACH
Practice Address - State:FL
Practice Address - Zip Code:33009-3300
Practice Address - Country:US
Practice Address - Phone:786-236-4301
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-09
Last Update Date:2025-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician