Yadmila Boullosa

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

1280 NW 79TH St
303
Miami, FL 33147

Phone

(305) 877-3590

NPI assigned

Dec 26, 2016

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1482710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526601600000",
    "number": "1801331038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2331 NW 96TH TER APT 17B",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330243043",
            "telephone_number": "786-393-0361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1280 NW 79TH ST",
            "address_2": "303",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33147",
            "telephone_number": "305-877-3590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOULLOSA",
        "first_name": "YADMILA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-12-26",
        "last_updated": "2018-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine Boulanger, M.D.
• Luis L Boulart
• Ana Liz Boullon Estevez
• Boullon Rehabilitation Center LLC
• Keanu Boullon
• Alexander Boulos, MD, MPH
• Melissa Marie Boulos, PT, DPT
• Paul Adly Boulos, D.O.
• Thomas Matthew Boulos, PA-C, MPH
• Firas Bounni, MD

• Behavior Technician in Miami, FL
• Providers in Miami, FL by specialty
• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.