Individual
YAILIN FERNANDEZ DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
18081 SW 134TH CT, MIAMI, FL 33177-7132
(786) 985-8203
Mailing address
18081 SW 134TH CT, MIAMI, FL 33177-7132
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
0-25-16478
FL
106S00000X
Behavior Technician
RBT-20-122661
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
108979400
—
FL
Enumeration date
10/08/2020
Last updated
09/22/2025
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