Provider Demographics
NPI:1235986316
Name:INCHAUSTEGUI CAPOTE, YAIMELY (RBT)
Entity type:Individual
Prefix:
First Name:YAIMELY
Middle Name:
Last Name:INCHAUSTEGUI CAPOTE
Suffix:
Gender:F
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3690 E 1ST AVE
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33013-2606
Mailing Address - Country:US
Mailing Address - Phone:305-785-1889
Mailing Address - Fax:
Practice Address - Street 1:7801 NW 37TH ST STE LP201
Practice Address - Street 2:
Practice Address - City:DORAL
Practice Address - State:FL
Practice Address - Zip Code:33195-6503
Practice Address - Country:US
Practice Address - Phone:305-468-9899
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-06
Last Update Date:2024-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRBT-24-337606106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician