Yessiel Willis

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

10537 SW 13TH CT
Pembroke Pines, FL 33025-4766

Phone

(786) 585-4452

NPI assigned

Oct 28, 2024

Last updated

Oct 28, 2024By the provider in NPPES

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": "1730073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730073600000",
    "number": "1033931456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5010 SW 127TH PL",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331755426",
            "telephone_number": "786-585-4452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10537 SW 13TH CT",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330254766",
            "telephone_number": "786-585-4452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIS",
        "first_name": "YESSIEL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-28",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Flo Williams, RRT
• Jessica Alyssa Williams, COTA
• Keisha Williams, FNP-C
• Sasha Yolanda Williams
• Tara Williams, DNP, RN
• Allyson Ann Wilson, AP
• Luciana Wimbish, MS, LMHC
• Jami Lynn Winnick, SLP-A
• Judith Marcia Wint Ivery, APRN
• Dawn Nicole Witherspoon, LMHC

• Behavior Technician in Pembroke Pines, FL
• Providers in Pembroke Pines, FL by specialty
• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2024; 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.