Individual provider Active NPI

Yadeisys Pino Alfonso, BCBA

  • Behavior Analyst
  • Miami, FL
National Provider Identifier
1043797343
Registry record updated May 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-24-72823 Issued in FL
Practice address
14490 SW 160TH Ter
Miami, FL 33177-1700
Phone
(786) 286-6904
NPI assigned
Jul 19, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 7, 2024

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 18-57442 FL
Behavior Analyst 103K00000X 1-24-72823 FL Primary

Addresses

Primary practice location

14490 SW 160TH Ter
Miami, FL 33177-1700

Mailing address

14490 SW 160TH Ter
Miami, FL 33177-1700
Phone (786) 286-6904

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

LicenseStateTypeSpecialty
18-57442FLMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Meliora Consultants Group LLC Behavior Analyst Past Accepting new patients

Organizations & group practices 1

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": "1531958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715040000000",
    "number": "1043797343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14490 SW 160TH TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331771700",
            "telephone_number": "786-286-6904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14490 SW 160TH TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331771700",
            "telephone_number": "786-286-6904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINO ALFONSO",
        "first_name": "YADEISYS",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-19",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "18-57442",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-24-72823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 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.