Individual
YAZMIN ODETTE CARRILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1409 MELROSE ST, LAKE ALFRED, FL 33850-3919
(407) 719-1488
Mailing address
1409 MELROSE ST, LAKE ALFRED, FL 33850-3919
(407) 719-1488
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
8665
PR
106S00000X
Behavior Technician
—
FL
Other
Enumeration date
08/11/2025
Last updated
01/01/2026
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