Most Relevant Information
Provider Data
| NPI Number: | 1003280058 |
| Provider Name: | YANA USTSINOVICH |
| Entity Type: | Individual |
| Taxonomy Code: | 103K00000X |
| Specialty: | Behavior Analyst |
| License Number: |
Most Important Dates
| Enumeration Date: | 11/13/2015 |
| Last Updated: | 12/22/2015 |
Provider Practice Location
2500 NW 107TH AVE
SUITE 200
DORAL
FL
331725925
Practice Location Phone/Fax
| Phone: | 3055973861 |
| Fax: | 3055973863 |
Provider Mailing Location
2500 NW 107TH AVE
SUITE 200
DORAL
FL
331725925
Provider Mailing Phone/Fax
| Phone: | 3055973861 |
| Fax: | 3055973863 |