Individual provider Active NPI

Yenibet Hernandez Betancourt

  • Behavior Analyst
  • Fort Myers, FL
National Provider Identifier
1013685288
Registry record updated Oct 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
4997 Royal Gulf Cir
Fort Myers, FL 33966-7006
Phone
(239) 313-5049
Fax
(239) 313-5712
NPI assigned
Sep 2, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 10, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X
Behavior Analyst 103K00000X Primary

Addresses

Primary practice location

4997 Royal Gulf Cir
Fort Myers, FL 33966-7006

Mailing address

4997 Royal Gulf Cir
Fort Myers, FL 33966-7006

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL yenibet.hernandez@focusflorida.com J Kru Therapy LLC dba FOCUS

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

Practice roles

OrganizationSpecialtyStatusNew patients
Gulf Coast Children Therapies LLC Behavior Analyst Current Accepting new patients
Bright Future With ABA LLC Behavior Analyst Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1630540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665360000000",
    "number": "1013685288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4997 ROYAL GULF CIR",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339667006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4997 ROYAL GULF CIR",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339667006",
            "telephone_number": "239-313-5049",
            "fax_number": "239-313-5712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ BETANCOURT",
        "first_name": "YENIBET",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-02",
        "last_updated": "2022-10-10",
        "certification_date": "2022-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "yenibet.hernandez@focusflorida.com",
            "affiliation": "Y",
            "endpointDescription": "secure messaging email",
            "affiliationName": "J Kru Therapy LLC dba FOCUS",
            "address_1": "9961 Interstate Commerce Dr Ste 160",
            "city": "Fort Myers",
            "state": "FL",
            "country_code": "US",
            "postal_code": "339138264",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2022; 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.