Provider Demographics
NPI:1174345516
Name:AMADOR DEL SOL, YAINERY
Entity type:Individual
Prefix:
First Name:YAINERY
Middle Name:
Last Name:AMADOR DEL SOL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6512 RUNNINGWOODS DR
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33634-4722
Mailing Address - Country:US
Mailing Address - Phone:813-897-1020
Mailing Address - Fax:
Practice Address - Street 1:6512 RUNNINGWOODS DR
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33634-4722
Practice Address - Country:US
Practice Address - Phone:813-897-1020
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-28
Last Update Date:2024-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRBT-24-388329106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician