Active NPI
Ada Maria Yunes
- Behavior Technician
- Orlando, FL
National Provider Identifier
1063178192
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 2151 Consulate Dr Ste 11
Orlando, FL 32837-8806 - Phone
- (321) 444-8320
- Fax
- (407) 641-9591
- NPI assigned
- Nov 12, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Primary |
Addresses
Primary practice location
2151 Consulate Dr Ste 11
Orlando, FL 32837-8806
Mailing address
1148 Epson Oaks Way
Orlando, FL 32837-6320
Phone (407) 486-9930
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 111417400 | Medicaid | FL |
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Side by Side Behavioral Health LLC | Behavior Technician | Current | Accepting new patients |
Locations
2151 Consulate Dr
Ste 11
Orlando, FL 32837
Phone (321) 444-9527
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": "1636675200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1636675200000",
"number": "1063178192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1148 EPSON OAKS WAY",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328376320",
"telephone_number": "407-486-9930"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2151 CONSULATE DR STE 11",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328378806",
"telephone_number": "321-444-8320",
"fax_number": "407-641-9591"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YUNES",
"first_name": "ADA",
"middle_name": "MARIA",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-11-12",
"last_updated": "2021-11-12",
"certification_date": "2021-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "111417400",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.