Most Relevant Information
Provider Data
| NPI Number: | 1003574047 |
| Provider Name: | YUSILY GOMEZ FRAGA |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 12/07/2021 |
| Last Updated: | 12/07/2021 |
Provider Practice Location
457 NW 57TH AVE APT 12
MIAMI
FL
331264864
Practice Location Phone/Fax
| Phone: | 7862175678 |
| Fax: |
Provider Mailing Location
457 NW 57TH AVE APT 12
MIAMI
FL
331264864
Provider Mailing Phone/Fax
| Phone: | 7862175678 |
| Fax: |