Active NPI
Yenisleydis Galban
- Assistant Behavior Analyst
- Doral, FL
National Provider Identifier
1013655422
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assistant Behavior Analyst
- License
- 02213516
- Practice address
- 1905 NW 82ND Ave
Doral, FL 33126-1011 - Phone
- (786) 420-5924
- Fax
- (786) 542-5340
- NPI assigned
- May 25, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Assistant Behavior Analyst | 106E00000X | 02213516 | FL | Primary |
Addresses
Primary practice location
1905 NW 82ND Ave
Doral, FL 33126-1011
Mailing address
9173 NW 146TH Ter
Miami Lakes, FL 33018-7309
Phone (305) 244-7593
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 |
|---|---|---|---|
| 02213516 | FL | MD | Assistant Behavior Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1653436800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738627200000",
"number": "1013655422",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9173 NW 146TH TER",
"city": "MIAMI LAKES",
"state": "FL",
"postal_code": "330187309",
"telephone_number": "305-244-7593"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1905 NW 82ND AVE",
"city": "DORAL",
"state": "FL",
"postal_code": "331261011",
"telephone_number": "786-420-5924",
"fax_number": "786-542-5340"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GALBAN",
"first_name": "YENISLEYDIS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-05-25",
"last_updated": "2025-02-04",
"certification_date": "2025-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "106E00000X",
"taxonomy_group": "",
"desc": "Assistant Behavior Analyst",
"state": "FL",
"license": "02213516",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Doral, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.