Provider Demographics
NPI:1578451795
Name:KHANUKA, YULIANA
Entity type:Individual
Prefix:
First Name:YULIANA
Middle Name:
Last Name:KHANUKA
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 1:3101 N COUNTRY CLUB DR APT 412
Mailing Address - Street 2:
Mailing Address - City:AVENTURA
Mailing Address - State:FL
Mailing Address - Zip Code:33180-1764
Mailing Address - Country:US
Mailing Address - Phone:646-591-5760
Mailing Address - Fax:
Practice Address - Street 1:3101 N COUNTRY CLUB DR APT 412
Practice Address - Street 2:
Practice Address - City:AVENTURA
Practice Address - State:FL
Practice Address - Zip Code:33180-1764
Practice Address - Country:US
Practice Address - Phone:646-591-5760
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-26
Last Update Date:2025-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior TechnicianGroup - Single Specialty