Active NPI
Yaima Larin Fonseca, BCBA
- Behavior Analyst
- Naples, FL
National Provider Identifier
1013454750
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-21-54762
- Practice address
- 7013 Lone Oak Blvd
Naples, FL 34109-8875 - Phone
- (941) 879-1683
- NPI assigned
- Jan 19, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assistant Behavior Analyst | 106E00000X | 0-20-10996 | FL | |
| Behavior Technician | 106S00000X | RBT-18-58235 | FL | |
| Behavior Analyst | 103K00000X | 1-21-54762 | FL | Primary |
Addresses
Primary practice location
7013 Lone Oak Blvd
Naples, FL 34109-8875
Mailing address
7013 Lone Oak Blvd
Naples, FL 34109-8875
Phone (941) 879-1683
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-18-58235 | FL | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1484784000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638748800000",
"number": "1013454750",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7013 LONE OAK BLVD",
"city": "NAPLES",
"state": "FL",
"postal_code": "341098875",
"telephone_number": "941-879-1683"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7013 LONE OAK BLVD",
"city": "NAPLES",
"state": "FL",
"postal_code": "341098875",
"telephone_number": "941-879-1683"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LARIN FONSECA",
"first_name": "YAIMA",
"name_prefix": "Ms.",
"credential": "BCBA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-01-19",
"last_updated": "2021-12-06",
"certification_date": "2021-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "106E00000X",
"taxonomy_group": "",
"desc": "Assistant Behavior Analyst",
"state": "FL",
"license": "0-20-10996",
"primary": false
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "FL",
"license": "RBT-18-58235",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "FL",
"license": "1-21-54762",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Naples, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.