Yolanda Renay Jiles

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

1043675069 Issued in FL

Practice address

1131 Loblolly LN
Port Orange, FL 32129-4010

Phone

(386) 295-5145

NPI assigned

Dec 17, 2015

Last updated

May 9, 2025By 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

State licenses

Practice roles

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

• Behavioral Independence

  • Behavior Analyst
  • Palatka, FL
  • NPI 1932621810
  NPD (past)

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

{
    "created_epoch": "1450310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746748800000",
    "number": "1043675069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "907 OUTER RD STE B",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328146601",
            "telephone_number": "855-832-6727",
            "fax_number": "772-675-9100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1131 LOBLOLLY LN",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321294010",
            "telephone_number": "386-295-5145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JILES",
        "first_name": "YOLANDA",
        "middle_name": "RENAY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-12-17",
        "last_updated": "2025-05-09",
        "certification_date": "2025-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "1043675069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lane Edward Jennings Jr., LCSW, MCAP
• Elise Jernigan
• Jessica Jordan OD LLC
• Jessica Jordan OD LLC (Dr. Jessica's Eyes That Smile Optometry)
• Dana Jickell, AUD
• Raxitkumar Jinjuvadia, MD
• Joanne D Saxour MD (Halifax Family Medicine)
• John D Lockenour D C Inc
• Devon James Johnson-Robinson
• Michelle Johnson

• Behavior Technician in Port Orange, FL
• Providers in Port Orange, FL by specialty
• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 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.

Verify at the official NPI Registry.