Provider Demographics
NPI:1578364063
Name:TOLEDO COUSO, YASMANI
Entity type:Individual
Prefix:
First Name:YASMANI
Middle Name:
Last Name:TOLEDO COUSO
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13355 ARCH CREEK RD APT 2
Mailing Address - Street 2:
Mailing Address - City:NORTH MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33181-1912
Mailing Address - Country:US
Mailing Address - Phone:786-825-8964
Mailing Address - Fax:
Practice Address - Street 1:13355 ARCH CREEK RD APT 2
Practice Address - Street 2:
Practice Address - City:NORTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33181-1912
Practice Address - Country:US
Practice Address - Phone:786-825-8964
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-21
Last Update Date:2025-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician