Provider Demographics
NPI:1447077680
Name:MACHADO ROJAS, YESENIA
Entity type:Individual
Prefix:
First Name:YESENIA
Middle Name:
Last Name:MACHADO ROJAS
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 1:171 NW 97TH AVE APT 116
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33172-4149
Mailing Address - Country:US
Mailing Address - Phone:786-600-8805
Mailing Address - Fax:
Practice Address - Street 1:171 NW 97TH AVE APT 116
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33172-4149
Practice Address - Country:US
Practice Address - Phone:786-600-8805
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-19
Last Update Date:2024-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician